person
Dr. Shelby Ray Wilkes, MD
Specialist in Atlanta, Georgia
NPI 1770506479

Shelby Ray Wilkes is a Specialist based in Atlanta, GA. Shelby Ray Wilkes practices in Atlanta, GA and has the professional credentials of MD. The NPI Number for Shelby Ray Wilkes is 1770506479 and holds a License No. 024884 (Georgia).

The current practice location address for Shelby Ray Wilkes is 830 W Peachtree St Nw, Atlanta, GA and can be reached out via phone at 404-881-6417 and via fax at 404-876-7565.

Location: 830 W Peachtree St Nw, Atlanta, GA, 30308-1129
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Provider Profile Details
NPI Number
1770506479
Provider Name
Shelby Ray Wilkes
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
830 W Peachtree St Nw, Atlanta, GA, 30308-1129
Phone Number
404-881-6417
Fax Number
404-876-7565
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000273006B 05 GA
4231404 01 AETNA PPO
10039025 01 GA AMERIGROUP
153697 01 GA BCBS
180009231 01 GA RAILROAD MEDICARE
581515266 01 GA PEACH STATE HEALTH PLAN
309322 01 GA WELLCARE OF GEORGIA
581515266 01 TAX IDENTIFICATION NUMBER
2312437 01 AETNA HMO
institution
Provider Business Practice Location Address Details
Address
830 W Peachtree St Nw
City
State
Zip
30308-1129
Phone Number
404-881-6417
Fax Number
404-876-7565
person
Provider Business Mailing Address Details
Address
830 W Peachtree St Nw
City
State
Zip
30308-1129
Phone Number
404-881-6417
Fax Number
404-876-7565
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
024884 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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