| E Brooks Wilkins Family Medicine Pa | |
|
4020 Wake Forest Rd Ste 201 Raleigh NC 27609-6866 | |
| (919) 571-6465 | |
| (919) 571-6455 |
| Full Name | E Brooks Wilkins Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4020 Wake Forest Rd, Raleigh, North Carolina |
| Authorized Official Name and Position | Darlene Whitaker Wilkins (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9195716465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| E Brooks Wilkins Family Medicine Pa 4020 Wake Forest Rd Ste 201 Raleigh NC 27609-6866 Ph: (919) 571-6465 | E Brooks Wilkins Family Medicine Pa 4020 Wake Forest Rd Ste 201 Raleigh NC 27609-6866 Ph: (919) 571-6465 |
| NPI Number | 1043287774 |
|---|---|
| Provider Enumeration Date | 03/01/2006 |
| Last Update Date | 02/05/2015 |
| Medicare PECOS PAC ID | 9234145913 |
|---|---|
| Medicare Enrollment ID | O20060306000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043287774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Nancy V Cross |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720027717 PECOS PAC ID: 8325028566 Enrollment ID: I20040720001267 |
| Provider Name | Ezra Brooks Wilkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578538633 PECOS PAC ID: 9032125711 Enrollment ID: I20100830000736 |
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