Individual
DR. JOSHUA J. WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 W LYON ST, TALLAPOOSA, GA 30176-1288
(770) 824-2800
(770) 824-2810
Mailing address
119 AMBULANCE DR STE 202, CARROLLTON, GA 30117-3857
(770) 838-8787
(770) 838-8922
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
077594
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
GA
Enumeration date
04/22/2012
Last updated
07/21/2022
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