Individual
GAVIN RAY WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 UNIVERSITY BLVD E STE 604, TUSCALOOSA, AL 35401-7411
(205) 759-6925
(205) 759-6926
Mailing address
518 COUNTY ROAD 154, CROSSVILLE, AL 35962-4217
(256) 572-0812
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
38426
AL
Other
Enumeration date
04/27/2012
Last updated
06/28/2019
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