Individual
DR. GEORGE E WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
74 AULTMAN RD, SUMRALL, MS 39482-4026
(601) 270-4478
Mailing address
74 AULTMAN RD, SUMRALL, MS 39482-4026
(601) 270-4478
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
05507
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00014453
—
MS
Enumeration date
10/25/2006
Last updated
11/12/2014
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