Individual
DR. STEPHEN M WILKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-5000
Mailing address
1190 W DRUID HILLS DR NE, #T 75, ATLANTA, GA 30329-2121
(404) 634-9196
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000383963A
—
GA
Enumeration date
12/09/2005
Last updated
07/08/2007
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