Organization
WILLIAM B. WILKINSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM B. WILKINSON MD (CEO/PHYSICIAN)
(256) 331-3339
Entity
Organization
Contact information
Practice address
523 GANDY ST NE, SUITE E, RUSSELLVILLE, AL 35653-1961
(256) 331-3339
(256) 331-3342
Mailing address
PO BOX 1203, RUSSELLVILLE, AL 35653-1203
(256) 331-3339
(256) 331-3342
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
20102
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723179
—
TN
Enumeration date
04/21/2006
Last updated
08/22/2020
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