Individual
EMMETT EARL WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2464 OLD FORT PKWY, MURFREESBORO, TN 37128-4163
(615) 410-3137
(615) 410-3427
Mailing address
16 BRENTSHIRE SQ, JACKSON, TN 38305-2203
(731) 664-0994
(731) 664-0866
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
41155
TN
207QA0401X
Addiction Medicine (Family Medicine) Physician
41155
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025647
UAHC
TN
01
—
188282
UNISON
TN
01
—
37939
TLC
TN
05
—
3811270
—
TN
01
—
4130301
BLUE CROSS BLUE SHIELD
TN
01
—
626001636
UNITED HEALTHCARE
TN
01
—
9396704
CIGNA
TN
Enumeration date
07/04/2006
Last updated
05/19/2025
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