Individual
GREGORY SCOTT WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
303 N CLYDE MORRIS BLVD, HOSPITALIST GROUP, DAYTONA BEACH, FL 32114
(386) 425-4542
(386) 425-7705
Mailing address
303 N CLYDE MORRIS BLVD, CREDENTIAL SERVICES, DAYTONA BEACH, FL 32114-2709
(386) 425-4542
(386) 425-7705
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
DR.0068505
CO
207R00000X
Internal Medicine Physician
OS13708
FL
207R00000X
Internal Medicine Physician
UO3994
FL
208M00000X
Hospitalist Physician
Primary
OS13708
FL
Other
Enumeration date
11/04/2014
Last updated
05/19/2022
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