Individual
DR. LEE WILKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
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, STE B303, TUCKER, GA 30084-4918
(770) 723-0817
(770) 723-1691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00676079H
—
GA
Enumeration date
01/13/2006
Last updated
12/31/2009
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