Individual
JUSTIN GRANT WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
721 GLENWOOD DR STE 550&W553, CHATTANOOGA, TN 37404-1106
(423) 698-2869
(423) 624-7813
Mailing address
1949 GUNBARREL RD STE 206, CHATTANOOGA, TN 37421-7133
(423) 495-4345
(423) 495-4934
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD-42958
IA
Other
Enumeration date
06/08/2012
Last updated
09/21/2021
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