Healthcare Provider Details

I. General information

NPI: 1114834678
Provider Name (Legal Business Name): ALEXANDER WHITNEY WILKENS DC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 IRVINDALE DR STE 200
CHAMBLEE GA
30341-2359
US

IV. Provider business mailing address

2217 IRVINDALE DR STE 200
CHAMBLEE GA
30341-2359
US

V. Phone/Fax

Practice location:
  • Phone: 470-495-9744
  • Fax:
Mailing address:
  • Phone: 470-495-9744
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberCHIR011243
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: