Organization
EMANUEL WILKES, M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EMANUEL WILKES M.D. (OWNER)
(706) 327-9965
Entity
Organization
Contact information
Practice address
822 22ND STREET, COLUMBUS, GA 31904
(706) 327-9965
(706) 327-7798
Mailing address
822 22ND STREET, COLUMBUS, GA 31904
(706) 327-9965
(706) 327-7798
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
28335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
322056
WELLCARE MEDICAID
GA
01
—
52237056-001
GA BCBS
GA
Enumeration date
05/18/2007
Last updated
08/22/2020
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