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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