Executive Medical Associates P.c.

NPI #1104204379 in Tucker, Georgia

Provider Information

NPI Number: 1104204379
Entity Type: Organization
Organization Name: Executive Medical Associates P.c.
Primary Specialty: Clinic/Center
Enumeration Date: May 8, 2015
Last Updated: May 8, 2015

Practice Location

Address: 4426 HUGH HOWELL RD
Address 2: SUITE B303
City: Tucker
State: Georgia
ZIP Code: 30084-4918
Phone: (770) 572-7574

Authorized Official

Name: LEE WILKES, M.D.
Title: OWNER/MEDICAL DIRECTOR
Phone: (770) 572-7574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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