| Executive Medical Associates P.c. | |
|
4426 Hugh Howell Rd Suite B303 Tucker GA 30084-4918 | |
| (770) 572-7574 | |
| Not Available |
| Full Name | Executive Medical Associates P.c. |
|---|---|
| Speciality | Clinic/center |
| Location | 4426 Hugh Howell Rd, Tucker, Georgia |
| Authorized Official Name and Position | Lee Wilkes (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 7705727574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Executive Medical Associates P.c. 59 Beams Way Dallas GA 30157-2517 Ph: (678) 779-7038 | Executive Medical Associates P.c. 4426 Hugh Howell Rd Suite B303 Tucker GA 30084-4918 Ph: (770) 572-7574 |
| NPI Number | 1104204379 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 05/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104204379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | RN162951 (Georgia) | Primary |
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