Individual
WILFREDO RIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2501 N PATTERSON ST, VALDOSTA, GA 31602-1735
(229) 259-4665
(229) 249-5073
Mailing address
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100, ATLANTA, GA 30303-1401
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29234
GA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
29234
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000255400
—
FL
05
—
000357728M
—
GA
01
—
52027397009
BCBS
GA
Enumeration date
11/21/2006
Last updated
12/22/2008
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