Provider Demographics
NPI:1871606913
Name:WILKINSON, JOHN (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:WILKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:166 PLEASANT POINT DR
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-8817
Mailing Address - Country:US
Mailing Address - Phone:828-256-2112
Mailing Address - Fax:828-256-2393
Practice Address - Street 1:2386 SPRINGS RD NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3066
Practice Address - Country:US
Practice Address - Phone:828-256-2112
Practice Address - Fax:828-256-2393
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2023-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC36291207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC36291OtherLICENSE - NC
NC87607OtherBCBS PROVIDER NUMBER
NC8987607Medicaid
NC8987607Medicaid
NCD44637Medicare UPIN
NC87607OtherBCBS PROVIDER NUMBER