Provider Demographics
NPI:1073171930
Name:WILKERSON, MOLLY LINDEN (MD)
Entity Type:Individual
Prefix:DR
First Name:MOLLY
Middle Name:LINDEN
Last Name:WILKERSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1560 E CHEVY CHASE DR STE 355
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4159
Mailing Address - Country:US
Mailing Address - Phone:747-212-3441
Mailing Address - Fax:747-273-0965
Practice Address - Street 1:1560 E CHEVY CHASE DR STE 355
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4159
Practice Address - Country:US
Practice Address - Phone:747-212-3441
Practice Address - Fax:747-273-0965
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA179608207QH0002X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine