CHARLES H. WILKENS, M.D.,P.C.; NPI #1992841233

Contact Information

CHARLES H. WILKENS, M.D.,P.C.

131 HOSPITAL LN
JELLICO, TN 37762-4404

Phone: 423-784-7269
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for CHARLES H. WILKENS, M.D.,P.C.

NPI Number 1992841233

LBN Legal business name CHARLES H. WILKENS, M.D.,P.C.

Authorized official CHRISTY TIMMINS - (CPC)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/30/2007

Last updated 12/15/2023 - About 2 years ago

Identifiers

Medicaid

35001320

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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