Individual
LEE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 LIVE OAK PL, JACKSON, TN 38305-1601
(731) 780-5753
Mailing address
37 LIVE OAK PL, JACKSON, TN 38305-1601
(731) 780-5753
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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