DR. Richard Edward Wild, M.D.

NPI #1053412908 in Decatur, Georgia

Provider Information

NPI Number: 1053412908
Entity Type: Individual
Name: DR. Richard Edward Wild, M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Sep 25, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1275 OAK GROVE DR
City: Decatur
State: Georgia
ZIP Code: 30033-2737
Phone: (404) 315-6110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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