Organization
WILKES WOMENS CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CHEEK (OFFICE MANAGER)
(336) 667-7171
Entity
Organization
Contact information
Practice address
408 8TH STREET, SUITE 4, N WILKESBORO, NC 28659-4130
(336) 667-7171
(336) 667-1095
Mailing address
408 8TH ST, SUITE 4, N WILKESBORO, NC 28659-4167
(336) 667-7171
(336) 667-1095
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9500290
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0297M
BCBS OFFICE PROVIDER #
NC
05
—
890297M
—
NC
Enumeration date
03/29/2006
Last updated
06/16/2015
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