Individual
WESLEY D ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
376 ROGERS AVE, MACON, GA 31204-2506
(478) 755-1110
Mailing address
376 ROGERS AVE, MACON, GA 31204-2506
(478) 755-1110
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
031345
GA
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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