Individual
DR. WADE RICHARD WILKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 YADKIN ST, DEPARTMENT OF RADIOLOGY, ALBEMARLE, NC 28001-3441
(704) 984-4385
Mailing address
PO BOX 2060, ALBEMARLE, NC 28002-2060
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2008-01023
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5912293
—
NC
01
—
P00961546
RAILROAD MEDICARE
NC
Enumeration date
01/15/2008
Last updated
11/06/2013
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