Individual
WILKES BANKS PETREY
Active
Individual
WILKES BANKS PETREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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