Individual
BOBBY S WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 N STATE ST, SUITE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Mailing address
1227 N STATE ST, SUITE 101, JACKSON, MS 39202-2002
(601) 355-2485
(601) 353-1463
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17599
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04883219
—
MS
01
—
7271728
AETNA US HEALTHCARE
MS
Enumeration date
11/18/2005
Last updated
05/24/2017
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