Wilkins Center For Family Dentistry Pc | |
5468 Memorial Drive Ste. A Stone Mountain GA 30083 | |
(404) 292-2900 | |
(404) 292-3929 |
Full Name | Wilkins Center For Family Dentistry Pc |
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Speciality | Dentist - General Practice |
Location | 5468 Memorial Drive Ste. A, Stone Mountain, Georgia |
Authorized Official Name and Position | James A Wilkins (ADMINISTRATOR) |
Authorized Official Contact | 4042922900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wilkins Center For Family Dentistry Pc 5468 Memorial Drive Ste A Stone Mountain GA 30083 Ph: (404) 292-2900 | Wilkins Center For Family Dentistry Pc 5468 Memorial Drive Ste. A Stone Mountain GA 30083 Ph: (404) 292-2900 |
NPI Number | 1184899833 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 04/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184899833 | NPI | - | NPPES |
00770316C | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 11792 (Georgia) | Primary |
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