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NPI Code Detail

MEDICARE: GARRETT RONALD WILKINS PA

MEDICARE: GARRETT RONALD WILKINS PA
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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1366375669
Entity Type Code : Individual
Provider Name (Legal Business Name) : GARRETT RONALD WILKINS PA
Provider Business Mailing Address
First Line : 2410 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1748
Country : US
Telephone Number : 423-282-9011
Fax Number : 423-282-0035
Provider Business Practice Location Address
First Line : 2410 SUSANNAH ST
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37601-1748
Country : US
Telephone Number : 423-282-9011
Fax Number : 423-282-0035
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ GARRETT RONALD WILKINS PA” Practice Location

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