Individual provider · Type 1 NPI
Charles R. Wilkerson, DC
Chiropractor · Stone Mountain, GA
NPI number
1124158266
Active
Practice location
1230 S Hairston Rd, Suite 8
Stone Mountain, GA 30088-2719
Fax (404) 299-9991
Mailing address
4432 Aldergate Dr
Decatur, GA 30035-2104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | GA4956 (GA) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1124158266
Charles R. Wilkerson, DC's National Provider Identifier is 1124158266, issued on Mar 7, 2007. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Stone Mountain, GA. The record was last updated on Apr 17, 2008.