Individual
RANDY MILLARD WILKES JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2313 QUAIL NEST CIR, CHATTANOOGA, TN 37421-1364
(423) 298-4643
Mailing address
2313 QUAIL NEST CIR, CHATTANOOGA, TN 37421-1364
(423) 298-4643
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
881
TN
Other
Enumeration date
04/24/2020
Last updated
04/24/2020
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