Individual
DR. JEREMY SAMUEL WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-0750
Mailing address
500 LAUCHWOOD DR, LAURINBURG, NC 28352-5501
(910) 291-6904
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021-00561
NC
208000000X
Pediatrics Physician
2021-00561
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2018
Last updated
06/02/2022
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