Dr. Fred Clayton Wilkins JR.
Family Doctor General Practice Physician
104 Anthem Ave
Herndon
, Virginia 20170-5161
Dr. Fred Clayton Wilkins JR.
Family Doctor General Practice Physician
104 Anthem Ave
Herndon
, Virginia 20170-5161
(703) 376-7296
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About
Features
Specialties
- Family Doctor
- General Practice Physician
Languages spoken
- English
Location
First Address
- Dr. Fred Clayton Wilkins JR.
- 104 Anthem Ave
- Herndon, VA
- Zip : 20170-5161
- Phone : (703) 376-7296
Second Address
- Dr. Fred Clayton Wilkins JR.
- 104 Anthem Ave
- Herndon, VA
- Zip : 20170-5161
- Phone : (703) 376-7296
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Is Dr. Fred Clayton Wilkins JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207Q00000X | Family Doctor | 22248 | AL |
| Y | 208D00000X | General Practice Physician | 22248 | AL |
National Provider Identifier
| NPI | 1043631906 |
|---|---|
| Provider Name | Dr. Fred Clayton Wilkins JR. |
| First Address | Herndon, VA 20170-5161 |
| Second Address | Herndon, VA 20170-5161 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/12/2013 |
| Last Update Date | 19/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.