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Contact Information

C. H. WILKINSON PHYSICIAN NETWORK
725 NORTH ASHLEY RIDGE
SUITE 300
SHREVEPORT, LA71106
 Phone: 318-629-9630
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gynecology

207VG0400X 16 Physician/Obstetrics & Gynecology
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for C. H. WILKINSON PHYSICIAN NETWORK

NPI Number 1023212172
LBN Legal business name C. H. WILKINSON PHYSICIAN NETWORK
Authorized official DONNA MIKULECKY - (CEO PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/13/2007
Last updated 09/11/2025 - About 9 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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