Individual
MRS. ADRIA H WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4600 WATERS AVE, STE 100, SAVANNAH, GA 31404-6702
(912) 355-2462
(912) 353-1836
Mailing address
4600 WATERS AVE, STE 100, SAVANNAH, GA 31404-6702
(912) 355-2462
(912) 353-1836
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
058197
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
058197
LICENSE
GA
01
—
581102392
TAX ID
GA
05
—
714163085C
—
GA
Enumeration date
03/12/2007
Last updated
03/07/2023
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