| Ma Wilkinson Aprn Llc | |
|
5500 Knoll North Dr Suite 310 Columbia MD 21045-2370 | |
| (410) 964-5226 | |
| (410) 964-5249 |
| Full Name | Ma Wilkinson Aprn Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5500 Knoll North Dr, Columbia, Maryland |
| Authorized Official Name and Position | Eric Wilkinson (ADMINISTRATOR) |
| Authorized Official Contact | 4109645226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ma Wilkinson Aprn Llc 11122 Proudfoot Pl Columbia MD 21044-1047 Ph: (410) 964-5226 | Ma Wilkinson Aprn Llc 5500 Knoll North Dr Suite 310 Columbia MD 21045-2370 Ph: (410) 964-5226 |
| NPI Number | 1518246644 |
|---|---|
| Provider Enumeration Date | 08/07/2011 |
| Last Update Date | 08/07/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518246644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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