Individual
DAVID JEFFREY WILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
801 S MERIDIAN ST, GREENFIELD, TN 38230-2104
(731) 235-0555
(731) 235-0559
Mailing address
801 S MERIDIAN ST, GREENFIELD, TN 38230-2104
(731) 235-0555
(731) 235-0559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396
STATE LICENSE
TN
Enumeration date
08/13/2006
Last updated
01/12/2012
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