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Contact Information

NEIL W WILKERSON, PA-C
1497 FAIR ROAD
SUITE 204
STATESBORO, GA30458
 Phone: 912-489-2273
 Fax: 912-871-4712
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NEIL W WILKERSON · (Male)

NPI # 1265783260
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 10/01/2012
Last updated 10/01/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 006588
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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