Beth J Wilkening in Decatur - Physician Assistant

Beth J Wilkening - NPI 1093725343

Beth J Wilkening is a Physician Assistant in Decatur, Georgia. Beth J Wilkening practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Beth J Wilkening is 1093725343. The last update date is 2011-11-07.

Beth J Wilkening's current location address is 1670 Clairmont Rd, Decatur, Georgia. You can contact this provider via phone number 4043216111 and fax number 4043292211. The mailing address for Beth J Wilkening is 1670 Clairmont Rd, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Beth J Wilkening
Address 1670 Clairmont Rd, Decatur, Georgia
Phone Number 4043216111
Fax Number 4043292211
Sole Proprietor N
Credentials P.A.-C

NPI Number Detail

NPI Number 1093725343
Provider Enumeration Date 2006-08-09
Last Updated Date 2011-11-07

Provider Mailing Address Detail

Address 1670 Clairmont Rd
City Decatur
State Georgia (GA)
Post Code 300334004
Phone Number 4043216111
Fax Number 4043292211

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 1461
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Beth J Wilkening

What is the Beth J Wilkening's 1093725343?

The Beth J Wilkening's NPI (National Provider Identifier) Number is 1093725343. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Beth J Wilkening's physical address?

The Beth J Wilkening is physically located at 1670 Clairmont Rd, in the city of Decatur, GA, with the postal code 300334004.

What is Beth J Wilkening's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Beth J Wilkening's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.

On what date was the 1093725343 assigned to Beth J Wilkening?

The Beth J Wilkening was issued its 1093725343 on 2006-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Beth J Wilkening, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Beth J Wilkening, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-07.

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