MEDICARE: TIMOYA MCKAY-WILKINS PA-C

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	363A00000X	Physician Assistant		GA

General Provider Information

NPI Number	:	1407586076
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIMOYA MCKAY-WILKINS PA-C

Provider Business Mailing Address
First Line	:	939 BOB ARNOLD BLVD STE A
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-3258
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	939 BOB ARNOLD BLVD
Second Line	:
City	:	LITHIA SPRINGS
State	:	GA
Zip	:	30122-3258
Country	:	US
Telephone Number	:	770-769-1724
Fax Number	:

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

Provider Enumeration Date	:	06/15/2022
Last Update Date	:	03/03/2026

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