Individual
MRS. SHANNON WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
406 S 15TH ST, COSHOCTON, OH 43812-2285
(740) 295-3331
(740) 295-3332
Mailing address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 962-6111
(740) 962-2182
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.004688RX
OH
363A00000X
Physician Assistant
MA051578
PA
Other
Enumeration date
07/10/2006
Last updated
07/12/2016
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