Individual
MR. JERRY LEE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10170 HIGHWAY 76 S, SOMERVILLE, TN 38068-6808
(901) 813-8529
Mailing address
10170 HIGHWAY 76 S, SOMERVILLE, TN 38068-6808
(901) 813-8529
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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