Organization
WILKES ANESTHESIA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY COULTER (PROVIDER ENROLLMENT SPECIALIST)
(844) 212-1610
Entity
Organization
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 651-8100
Mailing address
1092 TOWN N COUNTRY DR, WILKESBORO, NC 28697-7512
(866) 434-2745
(336) 434-6478
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89013WG
—
NC
Enumeration date
03/20/2006
Last updated
10/26/2017
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