Individual provider · Type 1 NPI

Valencia Wilson Lockhart, PA-C

Medical Physician Assistant · Fort Benning, GA

NPI number 1235215328 Active

Practice location

7950 Martin Loop
Fort Benning, GA 31905-5647

Mailing address

239 Lee Road 665
Auburn, AL 36832-8805

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA175 (AL)

Medical Physician Assistant: Definition to come...

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About NPI 1235215328

Valencia Wilson Lockhart, PA-C's National Provider Identifier is 1235215328, issued on Oct 31, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fort Benning, GA. The record was last updated on Jul 8, 2007.