Individual
JAMES GREG WILBANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 HIGHWAY 78 E, SUITE 318, JASPER, AL 35501-8907
(205) 221-4801
(205) 221-4802
Mailing address
3400 HIGHWAY 78 E, SUITE 318, JASPER, AL 35501-8907
(205) 221-4801
(205) 221-4802
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
13568
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036493
—
AL
01
—
51036493
BLUE CROSS
AL
Enumeration date
04/18/2006
Last updated
05/06/2011
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