Individual
ROBERT J WILMOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1610 TAZEWELL RD, SUITE 301, TAZEWELL, TN 37879
(423) 626-4288
(423) 626-1101
Mailing address
PO BOX 1349, NEW TAZEWELL, TN 37825-1349
(423) 626-4288
(423) 626-1101
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
39687
KY
208600000X
Surgery Physician
Primary
40079
TN
Other
Enumeration date
08/17/2005
Last updated
04/15/2010
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