Individual
NEIL WESLEY WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1497 FAIR ROAD, SUITE 204, STATESBORO, GA 30458
(912) 489-2273
(912) 871-4712
Mailing address
1497 FAIR ROAD, SUITE 204, STATESBORO, GA 30458
(912) 489-2273
(912) 871-4712
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006588
GA
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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