Individual
BRUCE E WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
610 JONES FERRY RD, STE 102, CARRBORO, NC 27510-6113
(919) 929-1747
(919) 933-5168
Mailing address
610 JONES FERRY RD, STE 102, CARRBORO, NC 27510-6113
(919) 929-1747
(919) 933-5168
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
29687
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
87616
BCBS
NC
Enumeration date
05/22/2006
Last updated
04/21/2011
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