Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 41056 | SC |
N | 111NI0900X | Internist | 41056 | SC |
Y | 207RH0002X | Hospice and Palliative Medicine | 12552 | GA |
NPI | 1285169532 |
---|---|
Provider Name | David Harris Wilkerson |
First Address | Atlanta, GA 30322-4200 |
Second Address | Atlanta, GA 30322-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2017 |
Last Update Date | 06/07/2021 |