NPI 1437708781

Samuel Donnall Wilkerson

Practitioner Driver Martinsville, VA

Practice location

Address: 1114 Oakgrove Ave, Martinsville, VA 24112-4811
Phone: (336) 520-4381
Fax: (276) 595-1185

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence T60237004 (VA)

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Registry record

NPI: 1437708781
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Sep 2019
Record last updated: 10 Sep 2019

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.