NPI 1083091995

Timothy Wilkins

Practitioner Private Vehicle Petersburg, VA

Practice location

Address: 3235 Gordon Dr, Petersburg, VA 23805-2658
Phone: (804) 989-2230
Fax: (804) 862-1805
Mailing address: PO Box 1913, Petersburg, VA 23805-0913

Registered specialties

Private Vehicle Primary

Transportation Services Taxonomy 347C00000X Licence 347C0000X (VA)

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Registry record

NPI: 1083091995
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Apr 2015
Record last updated: 29 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.