Individual
ERIC LYNN WILKERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 S WASHINGTON AVE, GREENVILLE, MS 38701-4719
(901) 827-9904
Mailing address
580 WILDWOOD DR, GREENVILLE, MS 38701-7400
(901) 827-9904
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
T-4157
MS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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