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WILKES BANKS PETREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326
Mailing address
4517 SOUTHLAKE PKWY, HOOVER, AL 35244-3280
(205) 985-4111
(205) 985-4326

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD.26908
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
117959
AL
05
117962
AL
05
117963
AL
05
122777
AL
05
1861673881
VA
01
511-03855
BLUE CROSS
AL
01
511-03856
BLUE CROSS
AL
01
511-03857
BLUE CROSS
AL
01
511-09829
BLUE CROSS
AL
01
511-56302
BLUE CROSS
AL
Enumeration date
11/19/2007
Last updated
05/20/2025
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