Lucien Sanders Wilkins, MD | |
120 Coastal Horizons Dr, Shallotte, NC 28470-6094 | |
(910) 764-4515 | |
(910) 341-5779 |
Full Name | Lucien Sanders Wilkins |
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Gender | Male |
Speciality | Psychiatry & Neurology - Addiction Medicine |
Location | 120 Coastal Horizons Dr, Shallotte, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851539662 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18588 (North Carolina) | Secondary |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 18588 (North Carolina) | Primary |
Entity Name | Coastal Horizons Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922022607 PECOS PAC ID: 9739267964 Enrollment ID: O20080429000046 |
Mailing Address | Practice Location Address |
---|---|
Lucien Sanders Wilkins, MD 615 Shipyard Blvd, Wilmington, NC 28412-6431 Ph: (910) 343-0145 | Lucien Sanders Wilkins, MD 120 Coastal Horizons Dr, Shallotte, NC 28470-6094 Ph: (910) 764-4515 |
Borislav Margaritov Mravkov, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 204 Smith Ave, Shallotte, NC 28470 Phone: 910-721-4220 Fax: 910-721-4229 | |
Marlon Anthony Graham, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 512 Village Rd Ste 104, Shallotte, NC 28470 Phone: 910-721-4200 Fax: 910-754-3811 | |
Dr. David A. Joseph, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 4647 Main St, Ste. 5, Shallotte, NC 28470 Phone: 910-755-6606 Fax: 910-755-6608 | |
Dr. Robert M. Licata, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 120 Coastal Horizons Dr, Shallotte, NC 28470 Phone: 910-754-4515 |