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:
Map and Directions
Authorized official contact:
Name: Wilkerson, George Edward Doctor of Medicine (MD)
Phone: (601) 824-4354

Health care specialties

SpecialtyCodeLicense #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 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598911877 NPPES
Mississippi Other 130000173 MEDICARE ID - TYPE UNSPECIFIED
Mississippi MEDICAID 00014453 MEDICARE ID - TYPE UNSPECIFIED

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