Provider Demographics
NPI:1245524610
Name:WILKES, MARGARITA ALEXANDRIA (MD)
Entity type:Individual
Prefix:MRS
First Name:MARGARITA
Middle Name:ALEXANDRIA
Last Name:WILKES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:MAGGIE
Other - Middle Name:A
Other - Last Name:WILKES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 751649
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1649
Mailing Address - Country:US
Mailing Address - Phone:888-472-0043
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:1400 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3255
Practice Address - Country:US
Practice Address - Phone:843-958-2555
Practice Address - Fax:843-402-1961
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC336682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC336684Medicaid
SCSC87059223OtherMEDICARE PIN