| Doctor Name: | DR. SHERRELL R WILKERSON |
| NPI Number: | 1225230287 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | PO 1645 |
| Business Practice Address: | 2441 Us Highway 98 W Suite 102 Santa Rosa Beach, FL - 324595385 |
| Business Phone Number: | 8502674554 |
| Business Fax Number: | |
| Mailing Address: | 2441 Us Highway 98 W, Suite 102 SANTA ROSA BEACH |
| State: | FL |
| Postal Code: | 324595385 |
| Phone Number: | 8502674554 |
| Fax Number: | |
| NPI Enumeration Date: | 06/01/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | PO 1645 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |