| Gary N Wilkerson | |
|
3217 Commander Shepard Blvd Hampton VA 23666 | |
| (757) 215-8039 | |
| Not Available |
| Full Name | Gary N Wilkerson |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3217 Commander Shepard Blvd, Hampton, Virginia |
| Authorized Official Name and Position | Gary N Wilkerson (COUNSELOR) |
| Authorized Official Contact | 2672583894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary N Wilkerson Po Box 494 Onancock VA 23417-0494 Ph: (267) 258-3840 | Gary N Wilkerson 3217 Commander Shepard Blvd Hampton VA 23666 Ph: (757) 215-8039 |
| NPI Number | 1659819548 |
|---|---|
| Provider Enumeration Date | 02/10/2017 |
| Last Update Date | 02/10/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659819548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0718000262 (Virginia) | Primary |
| 251S00000X | Community/behavioral Health | 0000066 (Delaware) | Secondary |
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