Provider Demographics
NPI:1417144163
Name:WILKINS, CLAY EUGENE (DC)
Entity Type:Individual
Prefix:
First Name:CLAY
Middle Name:EUGENE
Last Name:WILKINS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 PONCE DE LEON DR
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71909-8121
Mailing Address - Country:US
Mailing Address - Phone:228-896-3002
Mailing Address - Fax:228-897-1417
Practice Address - Street 1:412 PONCE DE LEON DR STE B
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71909-8121
Practice Address - Country:US
Practice Address - Phone:501-915-9800
Practice Address - Fax:501-915-9806
Is Sole Proprietor?:No
Enumeration Date:2007-09-26
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1020111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor