Individual
DR. EMANUEL WILKES SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
822 22ND STREET, COLUMBUS, GA 31904
(706) 327-9965
(706) 327-7798
Mailing address
822 22ND ST, COLUMBUS, GA 31904-8823
(706) 327-9965
(706) 327-7798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00326906A
—
GA
01
—
180038689G
RR MCARE
—
01
—
52237056001
BCBS GA
GA
Enumeration date
09/07/2006
Last updated
01/29/2013
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