Organization
MA WILKINSON APRN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC WILKINSON (ADMINISTRATOR)
(410) 964-5226
Entity
Organization
Contact information
Practice address
5500 KNOLL NORTH DR, SUITE 310, COLUMBIA, MD 21045-2370
(410) 964-5226
(410) 964-5249
Mailing address
11122 PROUDFOOT PL, COLUMBIA, MD 21044-1047
(410) 964-5226
(410) 964-5249
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/07/2011
Last updated
08/07/2011
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