Provider Demographics
NPI:1487278230
Name:WILKINS, OLIVIA WILLIAMS (PA-C)
Entity type:Individual
Prefix:
First Name:OLIVIA
Middle Name:WILLIAMS
Last Name:WILKINS
Suffix:
Gender:F
Credentials:PA-C
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Other - Credentials:
Mailing Address - Street 1:242 OWENS DR
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-4444
Mailing Address - Country:US
Mailing Address - Phone:919-623-9052
Mailing Address - Fax:
Practice Address - Street 1:870 STATE FARM RD STE 102
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-4862
Practice Address - Country:US
Practice Address - Phone:828-264-0029
Practice Address - Fax:828-265-3305
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-07
Last Update Date:2020-06-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant