Organization
WILKINS CENTER FOR FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES A WILKINS SR. (ADMINISTRATOR)
(404) 292-2900
Entity
Organization
Contact information
Practice address
5468 MEMORIAL DRIVE STE. A, STONE MOUNTAIN, GA 30083
(404) 292-2900
(404) 292-3929
Mailing address
5468 MEMORIAL DRIVE, STE A, STONE MOUNTAIN, GA 30083
(404) 292-2900
(404) 292-3929
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11792
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00770316C
—
GA
Enumeration date
04/24/2008
Last updated
04/24/2008
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