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George E. Wilkerson, M.d., P.a.
Medical Specialty Clinic/Center in Brandon, Mississippi
NPI 1598911877

George E. Wilkerson, M.d., P.a. is a Medical Specialty Clinic/Center based in Brandon, MS and is specialized in Medical Specialty. George E. Wilkerson, M.d., P.a. practices in Brandon, MS. The NPI Number for George E. Wilkerson, M.d., P.a. is 1598911877 and holds a License No. 05507 (Mississippi).

The current practice location address for George E. Wilkerson, M.d., P.a. is 348 Crossgates Blvd Ste 2300, Brandon, MS and can be reached out via phone at 601-824-4354 and via fax at 601-824-6042.

Location: 348 Crossgates Blvd Ste 2300, Brandon, MS, 39042-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1598911877
Provider Name
George E. Wilkerson, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
348 Crossgates Blvd Ste 2300, Brandon, MS, 39042-2634
Phone Number
601-824-4354
Fax Number
601-824-6042
Provider Enumeration Date
08/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
130000173 01 MS MEDICARE ID - TYPE UNSPECIFIED
00014453 05 MS
institution
Provider Business Practice Location Address Details
Address
348 Crossgates Blvd Ste 2300
City
Brandon
State
Mississippi
Zip
39042-2634
Phone Number
601-824-4354
Fax Number
601-824-6042
person
Provider Business Mailing Address Details
Address
348 Crossgates Blvd Ste 2300
City
Brandon
State
Mississippi
Zip
39042-2634
Phone Number
601-824-4354
Fax Number
601-824-6042
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
05507 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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