Organization
CHARLES H. WILKENS, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY TIMMINS (CPC)
(423) 784-0269
Entity
Organization
Contact information
Practice address
131 HOSPITAL LN, JELLICO, TN 37762-4404
(423) 784-7269
Mailing address
PO BOX 447, JELLICO, TN 37762-0447
(423) 784-7269
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35001320
—
KY
Enumeration date
01/30/2007
Last updated
12/15/2023
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