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Organization

EXECUTIVE MEDICAL ASSOCIATES

Active
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Organization

EXECUTIVE MEDICAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LEE WILKES M.D. (MEDICAL DIRECTOR)
(770) 723-0817
Entity
Organization

Contact information

Practice address
4500 HUGH HOWELL RD, BUILDING 270, SUITE B, TUCKER, GA 30084-4723
(770) 723-0817
(770) 723-1691
Mailing address
4426 HUGH HOWELL RD, SUITE B #303, TUCKER, GA 30084-4918
(770) 723-0817
(770) 723-1691

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
12/31/2009
Last updated
12/31/2009
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