Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDY MILLARD WILKES JR., ATC
ActiveSports Medicine (PM&R) · CHATTANOOGA, TN
Registration Details
- NPI Number
- 1699395194
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 24, 2020 (5.9935266139207 yrs)
- Last Updated
- Apr 24, 2020
- License
-
881 (TN)
Practice Information
- Address
-
2313 QUAIL NEST CIRCHATTANOOGA, TN, 374211364Browse TN providers · Browse ZIP 37421
- Phone
- 4232984643
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
Other Sports Medicine (PM&R) Providers in CHATTANOOGA, TN
| Name | Credential | NPI |
|---|---|---|
| KYLE METHER | — | 1477281954 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.