Individual
TIMOTHY MARC WILKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200100198
NC
2080P0006X
Developmental - Behavioral Pediatrics Physician
200100198
NC
Other
Enumeration date
12/19/2005
Last updated
02/23/2016
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