Individual provider · Type 1 NPI
Fred Clayton Wilkins Jr., MD
General Practice Physician · Herndon, VA
NPI number
1043631906
Active
Practice location
104 Anthem Ave
Herndon, VA 20170-5161
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 22248 (AL) |
| General Practice Physician Primary | 208D00000X | 22248 (AL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Herndon
About NPI 1043631906
Fred Clayton Wilkins Jr., MD's National Provider Identifier is 1043631906, issued on Dec 19, 2013. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Herndon, VA. The record was last updated on Dec 19, 2013.