MEDICARE: MS. PATRICIA DAWSON WILKINS M.S.,R.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	589189	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	589189	OTHER	VA	AMERICANDIETETICASSOCIATI

General Provider Information

NPI Number	:	1275717332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PATRICIA DAWSON WILKINS M.S.,R.D.

Provider Business Mailing Address
First Line	:	2807 N PARHAM RD STE 305
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4410
Country	:	US
Telephone Number	:	804-346-9866
Fax Number	:	804-965-0527

Provider Business Practice Location Address
First Line	:	2807 N PARHAM RD STE 305
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4410
Country	:	US
Telephone Number	:	804-346-9866
Fax Number	:	804-965-0527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2007
Last Update Date	:	12/26/2007

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