Individual
DR. RICHARD EDWARD WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 OAK GROVE DR, DECATUR, GA 30033-2737
(404) 315-6110
(404) 315-6074
Mailing address
1275 OAK GROVE DR, DECATUR, GA 30033-2737
(404) 315-6110
(404) 315-6074
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
022194
GA
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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