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Individual

MORGAN COLLEEN WILKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
6565 N CHARLES ST STE 212, TOWSON, MD 21204-5805
(410) 823-1120
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110-005859
VA
363A00000X
Physician Assistant
Primary
C0007113
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0110005859
VA STATE LICENSE
VA
01
C0007113
LICENSE
MD
Enumeration date
07/27/2017
Last updated
04/19/2025
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