Richard Edward Wild in Decatur - Emergency Medicine

Richard Edward Wild - NPI 1053412908

Richard Edward Wild is a Emergency Medicine in Decatur, Georgia. Richard Edward Wild practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Richard Edward Wild is 1053412908. The last update date is 2007-07-08.

Richard Edward Wild's current location address is 1275 Oak Grove Dr, Decatur, Georgia. You can contact this provider via phone number 4043156110 and fax number 4043156074. The mailing address for Richard Edward Wild is 1275 Oak Grove Dr, Decatur, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard Edward Wild
Address 1275 Oak Grove Dr, Decatur, Georgia
Phone Number 4043156110
Fax Number 4043156074
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1053412908
Provider Enumeration Date 2006-09-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1275 Oak Grove Dr
City Decatur
State Georgia (GA)
Post Code 300332737
Phone Number 4043156110
Fax Number 4043156074

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No 22194
Definition:
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency

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FAQs about Richard Edward Wild

What is the unique identification code assigned to Richard Edward Wild by the Centers for Medicare & Medicaid Services?

The Richard Edward Wild has been issued the NPI (National Provider Identifier) 1053412908. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Richard Edward Wild's physical address?

The Richard Edward Wild is physically located at 1275 Oak Grove Dr, in the city of Decatur, GA, with the postal code 300332737.

What is the Richard Edward Wild's specialty and taxonomy code?

The Richard Edward Wild's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.

When did the Richard Edward Wild receive its 1053412908?

The Richard Edward Wild was issued its 1053412908 on 2006-09-25, which is the date when the organization was assigned this unique identifier.

As of what date were the details related to Richard Edward Wild most recently updated or revised?

The information pertaining to Richard Edward Wild, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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