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Individual

WILLIAM JOSEPH WIKOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-2660
Mailing address
1255 FRIENDSHIP RD STE 150, BRASELTON, GA 30517-5618
(770) 962-3642
(770) 962-3643

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN289964
GA
363LF0000X
Family Nurse Practitioner
RN289964
GA

Other

Enumeration date
02/04/2021
Last updated
08/07/2025
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