Individual
DR. JASON MCKINLEY WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
416 N. SEMINARY STREET, STE 3100, FLORENCE, AL 35630
(256) 766-8667
(256) 767-5327
Mailing address
416 N. SEMINARY STREET, SUITE 3100, FLORENCE, AL 35630
(256) 766-8667
(256) 767-5327
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
00022890
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051521216
—
AL
01
—
4042119
BCBS/TN
TN
01
—
51521216
BCBS/AL
AL
05
—
51521216
—
AL
01
—
P00162975
PALMETTO GBA
AL
Enumeration date
06/13/2006
Last updated
01/17/2023
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