Individual
JEFF T WILKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4588
(706) 721-7264
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8401
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
051402
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000944292A
—
GA
05
—
G514002
—
SC
Enumeration date
08/31/2006
Last updated
10/11/2012
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