Individual
JUSTIN RICHARDS WILKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
895 CANTON RD NE, MARIETTA, GA 30060-8934
(770) 427-8111
Mailing address
3454 CHASTAIN GLEN LN NE, MARIETTA, GA 30066-8510
(706) 664-7987
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
071652
GA
Other
Enumeration date
03/29/2010
Last updated
06/27/2014
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