| Executive Medical Associates | |
|
4500 Hugh Howell Rd Building 270, Suite B Tucker GA 30084-4723 | |
| (770) 723-0817 | |
| (770) 723-1691 |
| Full Name | Executive Medical Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 4500 Hugh Howell Rd, Tucker, Georgia |
| Authorized Official Name and Position | Lee Wilkes (MEDICAL DIRECTOR) |
| Authorized Official Contact | 7707230817 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Medical Associates 4426 Hugh Howell Rd Suite B #303 Tucker GA 30084-4918 Ph: (770) 723-0817 | Executive Medical Associates 4500 Hugh Howell Rd Building 270, Suite B Tucker GA 30084-4723 Ph: (770) 723-0817 |
| NPI Number | 1518297266 |
|---|---|
| Provider Enumeration Date | 12/31/2009 |
| Last Update Date | 12/31/2009 |
| Medicare PECOS PAC ID | 6608063433 |
|---|---|
| Medicare Enrollment ID | O20101207000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518297266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Lee Wilkes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568441871 PECOS PAC ID: 5991694846 Enrollment ID: I20041118000565 |
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