Individual provider · Type 1 NPI
Justin Grant Wilkes, MD
General Practice Physician · Chattanooga, TN
NPI number
1821350604
Active
Practice location
721 Glenwood Dr Ste 550&W553
Chattanooga, TN 37404-1106
Fax (423) 624-7813
Mailing address
1949 Gunbarrel Rd Ste 206
Chattanooga, TN 37421-7133
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | MD-42958 (IA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1821350604
Justin Grant Wilkes, MD's National Provider Identifier is 1821350604, issued on Jun 8, 2012. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chattanooga, TN. The record was last updated on Sep 21, 2021.