DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. FRED CLAYTON WILKINS JR., MD

Active Sole Proprietor

DR. FRED CLAYTON WILKINS JR., MD is a General Practice healthcare provider located in HERNDON, Virginia. NPI 1043631906 is currently active in the NPPES registry. Verify at CMS.

General Practice · HERNDON, VA

Registration Details

NPI Number
1043631906
Provider Type
Individual
Gender
Male
NPI Issued
Dec 19, 2013 (12.645591149843 yrs)
Last Updated
Dec 19, 2013
Licenses
22248 (AL)
22248 (AL)
Sole Proprietor
Yes

Practice Information

Address
104 ANTHEM AVE
HERNDON, VA, 201705161
Browse VA providers · Browse ZIP 20170
Phone
7033767296
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice

Other General Practice Providers in HERNDON, VA

Name Credential NPI
DR. JOSEPH PARIMAL GURRALA MD 1760674345
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.