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Individual

DANIELLE WILKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1745 PEACHTREE ST NE STE F, ATLANTA, GA 30309-2463
(404) 919-3263
Mailing address
230 18TH ST NW UNIT 11420, ATLANTA, GA 30363-1183
(404) 919-3263

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
07/11/2023
Last updated
07/11/2023
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