Individual
JONATHAN NEPHI WILCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1899 TATE BLVD SE STE 1105, HICKORY, NC 28602-4200
(828) 322-3821
Mailing address
1899 TATE BLVD SE STE 1105, HICKORY, NC 28602-4200
(828) 322-3821
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2024-00042
NC
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
71381
MN
390200000X
Student in an Organized Health Care Education/Training Program
0116037559
VA
Other
Enumeration date
03/22/2018
Last updated
07/08/2024
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