Individual
HARRISON STEPHEN WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Mailing address
2080 W ARLINGTON BLVD STE B, GREENVILLE, NC 27834-3770
(252) 752-2140
(252) 689-6502
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
291825
NC
367500000X
Certified Registered Nurse Anesthetist
126328
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
3015642
KY
Other
Enumeration date
02/14/2019
Last updated
02/05/2021
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