Provider Demographics
NPI:1013479864
Name:WILDA, SARAH ELIZABETH KIRK (MD)
Entity Type:Individual
Prefix:DR
First Name:SARAH
Middle Name:ELIZABETH KIRK
Last Name:WILDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:SARAH
Other - Middle Name:ELIZABETH
Other - Last Name:KIRK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:FORENSIC PSYCHIATRY UNC CHAPEL HILL CAMPUS BOX 7167
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27599-7167
Mailing Address - Country:US
Mailing Address - Phone:919-972-7459
Mailing Address - Fax:919-493-8680
Practice Address - Street 1:CENTRAL REGIONAL HOSPITAL
Practice Address - Street 2:300 VEAZEY ROAD
Practice Address - City:BUTNER
Practice Address - State:NC
Practice Address - Zip Code:27509
Practice Address - Country:US
Practice Address - Phone:919-972-7459
Practice Address - Fax:919-493-8680
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-02
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC2023-021082084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program