Individual
CRAIG MICHAEL WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
214 PERRY HWY, HAWKINSVILLE, GA 31036-6748
(478) 892-8585
(478) 892-8528
Mailing address
3330 PRESTON RIDGE RD, STE 300, ALPHARETTA, GA 30005-4509
(770) 255-7423
(770) 350-6637
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
056506
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577795376F
—
GA
05
—
577795376G
—
GA
05
—
577795376H
—
GA
05
—
577795376I
—
GA
05
—
577795376J
—
GA
05
—
577795376K
—
GA
01
—
92BBGBW
MEDICARE PROVIDER ID
GA
Enumeration date
06/03/2006
Last updated
11/08/2017
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