Provider Demographics
NPI:1891290482
Name:WILKINSON, NICHOLAS ANDREW (MD)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:ANDREW
Last Name:WILKINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 319
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559-0319
Mailing Address - Country:US
Mailing Address - Phone:919-542-4991
Mailing Address - Fax:919-542-3726
Practice Address - Street 1:7228 MONCURE PITTSBORO RD
Practice Address - Street 2:
Practice Address - City:MONCURE
Practice Address - State:NC
Practice Address - Zip Code:27559-9595
Practice Address - Country:US
Practice Address - Phone:919-542-4991
Practice Address - Fax:919-542-3726
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2021-09-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-02279207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine