Executive Medical Associates

NPI #1518297266 in Tucker, Georgia

Provider Information

NPI Number: 1518297266
Entity Type: Organization
Organization Name: Executive Medical Associates
Primary Specialty: Internal Medicine
Enumeration Date: Dec 31, 2009
Last Updated: Dec 31, 2009

Practice Location

Address: 4500 HUGH HOWELL RD
Address 2: BUILDING 270, SUITE B
City: Tucker
State: Georgia
ZIP Code: 30084-4723
Phone: (770) 723-0817

Authorized Official

Name: DR. LEE WILKES, M.D.
Title: MEDICAL DIRECTOR
Phone: (770) 723-0817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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