Wilkins, Fonda Mae
Wilkins, Fonda Mae is an individual health care provider with primary practice located at 115 Blarney Dr , Columbia SC 29223-6291. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. Wilkins, Fonda Mae can be contacted via phone (803) 419-9091.Contact Information
Primary practice address
115 Blarney Dr
Columbia SC 29223-6291
Phone: (803) 419-9091
Fax: (803) 419-9199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Critical Care Medicine | 363LC0200X | 2964 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2964 | South Carolina |
Profile Details
| NPI number | 1649292830 |
|---|---|
| LBN Legal business name | Wilkins, Fonda Mae |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 24th, 2006 |
| Last updated | Mar 2nd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649292830 | NPPES |
| South Carolina | MEDICAID | NP1257 | |
| South Carolina | Other | P00889659 |
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