George E. Wilkerson, M.D., P.A.
LBN: George E. Wilkerson, M.D., P.A.
George E. Wilkerson, M.D., P.A. is an health care organization with primary practice located at 348 Crossgates Blvd Ste 2300 , Brandon MS 39042-2634. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty.
George E. Wilkerson, M.D., P.A. can be contacted via phone (601) 824-4354, or through Wilkerson, George Edward via phone (601) 824-4354.
Contact Information
Primary practice address
348 Crossgates Blvd Ste 2300
Brandon MS 39042-2634
Phone: (601) 824-4354
Fax: (601) 824-6042
Website:
Authorized official contact:
Name: Wilkerson, George Edward Doctor of Medicine (MD)
Phone: (601) 824-4354
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Medical Specialty | 261QM2500X | 05507 | Mississippi |
Profile Details
| NPI number | 1598911877 |
|---|---|
| LBN Legal business name | George E. Wilkerson, M.D., P.A. |
| DBA Doing business as | |
| Authorized official | Wilkerson, George Edward Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 18th, 2008 |
| Last updated | Aug 18th, 2008 - about 18 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598911877 | NPPES |
| Mississippi | Other | 130000173 | MEDICARE ID - TYPE UNSPECIFIED |
| Mississippi | MEDICAID | 00014453 | MEDICARE ID - TYPE UNSPECIFIED |
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