MR. Wilbur T. Little

NPI #1255567798 in Ellenwood, Georgia

Provider Information

NPI Number: 1255567798
Entity Type: Individual
Name: MR. Wilbur T. Little
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Jun 10, 2009
Last Updated: Jun 10, 2009

Practice Location

Address: 141 PALISADE POINT DR.
City: Ellenwood
State: Georgia
ZIP Code: 30294
Phone: (404) 386-7270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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