MEDICARE: KAREN WILSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VM0101X	Maternal & Fetal Medicine Physician	2013-02311	NC
2	207V00000X	Obstetrics & Gynecology Physician	2013-02311	NC
3	207V00000X	Obstetrics & Gynecology Physician	0101276030	VA
4	207VM0101X	Maternal & Fetal Medicine Physician	0101276030	VA
5	207VM0101X	Maternal & Fetal Medicine Physician	24057	NE
6	207V00000X	Obstetrics & Gynecology Physician	208D00000X	WA
7	390200000X	Student in an Organized Health Care Education/Training Program		NE

General Provider Information

NPI Number	:	1578543740
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN WILSON MD

Provider Business Mailing Address
First Line	:	2817 ROCK MERRITT AVENUE
Second Line	:
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	WOMACK OB GYN CLINIC BLDG 4
Second Line	:	2817 ROCK MERRITT AVENUE
City	:	FORT BRAGG
State	:	NC
Zip	:	28310-4810
Country	:	US
Telephone Number	:	910-907-8471
Fax Number	:	910-908-7379

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2006
Last Update Date	:	02/04/2026

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