Organization
HIGHLAND PARK PRIMARY CARE CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES H. WILKENS M.D. (PRESIDENT)
(606) 549-8054
Entity
Organization
Contact information
Practice address
475 N HIGHWAY 25 W, SUITE300, WILLIAMSBURG, KY 40769-1576
(606) 549-2054
(606) 549-8156
Mailing address
PO BOX 506, JELLICO, TN 37762-0506
(606) 549-2054
(606) 549-8156
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2008
Last updated
08/16/2010
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