Individual
JANE LOUISE WILKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 WINN WAY, DECATUR, GA 30030-2106
(404) 508-1177
(404) 508-9640
Mailing address
350 WINN WAY, DECATUR, GA 30030-2106
(404) 508-1177
(404) 508-9640
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
027689
GA
Other
Enumeration date
11/08/2006
Last updated
07/08/2007
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