Provider Demographics
NPI:1053306472
Name:WILKINS, PAUL C (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:WILKINS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:175 S PANTOPS DR STE 205
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22911-8673
Mailing Address - Country:US
Mailing Address - Phone:434-296-9740
Mailing Address - Fax:434-284-8923
Practice Address - Street 1:175 S PANTOPS DR STE 205
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8673
Practice Address - Country:US
Practice Address - Phone:434-296-9740
Practice Address - Fax:434-284-8923
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-12
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA01010254362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA66712OtherCIGNA
VA82082OtherSENTARA/SOUTHERN HEALTH
1507849OtherUNITED BEHAVIORAL HEALTH
032119OtherVALUE OPTIONS
VA175367OtherANTHEM BC
032119OtherVALUE OPTIONS
1507849OtherUNITED BEHAVIORAL HEALTH