Shelby Ray Wilkes is a Specialist in Atlanta, Georgia. Shelby Ray Wilkes practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shelby Ray Wilkes is 1770506479. The last update date is 2012-06-21.
Shelby Ray Wilkes's current location address is 830 W Peachtree St Nw, Atlanta, Georgia. You can contact this provider via phone number 4048816417 and fax number 4048767565. The mailing address for Shelby Ray Wilkes is 830 W Peachtree St Nw, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shelby Ray Wilkes |
|---|---|
| Address | 830 W Peachtree St Nw, Atlanta, Georgia |
| Phone Number | 4048816417 |
| Fax Number | 4048767565 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1770506479 |
|---|---|
| Provider Enumeration Date | 2006-07-25 |
| Last Updated Date | 2012-06-21 |
Provider Mailing Address Detail
| Address | 830 W Peachtree St Nw |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303081129 |
| Phone Number | 4048816417 |
| Fax Number | 4048767565 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 24884 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000273006B | GA | -- | |
| 4231404 | AETNA PPO | ||
| 10039025 | GA | AMERIGROUP | |
| 153697 | GA | BCBS | |
| 180009231 | GA | RAILROAD MEDICARE | |
| 581515266 | GA | PEACH STATE HEALTH PLAN | |
| 309322 | GA | WELLCARE OF GEORGIA | |
| 581515266 | TAX IDENTIFICATION NUMBER | ||
| 2312437 | AETNA HMO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Shelby Ray Wilkes?
The Shelby Ray Wilkes has been issued the NPI (National Provider Identifier) 1770506479 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Shelby Ray Wilkes is physically located?
The Shelby Ray Wilkes is situated at the following address: 830 W Peachtree St Nw, Atlanta, GA 303081129.
What is Shelby Ray Wilkes's area of expertise and its corresponding taxonomy classification?
The Shelby Ray Wilkes's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did Shelby Ray Wilkes receive its 1770506479 assignment from the Centers for Medicare & Medicaid Services?
The Shelby Ray Wilkes was assigned its 1770506479 on 2006-07-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Shelby Ray Wilkes most recently updated or refreshed?
The details pertaining to the Shelby Ray Wilkes, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-06-21.