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Organization

WILKES PHYSICIAN NETWORK, INC.

Active
Parent organization
WILKES PHYSICIAN NETWORK, INC.
Other names
Urgent Care of Wilkes
Organization subpart
Yes

Provider details

NPI number
Legal business name
WILKES PHYSICIAN NETWORK, INC.
Authorized official
FRIEDA M LOWDER (SR. VICE PRESIDENT)
(704) 403-4146
Entity
Organization

Contact information

Practice address
1900 W PARK DR, URGENT CARE OF WILKES, NORTH WILKESBORO, NC 28659-3563
(336) 903-6840
(336) 903-6841
Mailing address
1900 W PARK DR, URGENT CARE OF WILKES, NORTH WILKESBORO, NC 28659-3563
(336) 903-6840
(336) 903-6841

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
207Q00000X
Family Medicine Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2335816
MEDICARE PTAN, GROUP
NC
05
5915539
NC
Enumeration date
08/04/2010
Last updated
11/29/2010
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