# WHA P.K.A. WILKERSON OBGYN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851706543
- **Authorized official:** SUSAN P COKER (OFFICE MANAGER)
- **Authorized official phone:** (919) 571-1040

## Contact information

- **Practice address:** 4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607-7513
- **Practice address phone:** (919) 571-1040
- **Practice address fax:** (919) 781-0247
- **Mailing address:** 4414 LAKE BOONE TRL, SUITE 210, RALEIGH, NC 27607-7513
- **Mailing address phone:** (919) 571-1040
- **Mailing address fax:** (919) 781-0247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | 2014-00898 | NC | Yes |

## Other

- **Enumeration date:** 06/22/2014
- **Last updated:** 06/22/2014