Wilder Glover Little JR. MD

NPI 1033214259 - Urology - 208800000X

NPI Details
NPI 1033214259
Gender Male
Enumeration Date 09/13/2006
Last Updated 01/27/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
1357 HEMBREE RD
SUITE 250
ROSWELL GA, 30076-5722, US
Phone (770) 475-7550
Fax (770) 343-9080
Business Location
1357 HEMBREE ROAD
SUITE 250
ROSWELL GA, 30076, US
Phone (770) 475-7550
Fax (770) 343-9080
Toxanomy
Taxonomy Code 208800000X
License State Georgia
License Number 022819
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According to our database, Wilder Glover Little JR. MD NPI is 1033214259, taxonomy code is 208800000X and license number is 022819, license state is located at Georgia. Wilder Glover Little JR. MD physically located at 1357 Hembree Rd, Roswell GA, 30076-5722. NPI Number Wilder Glover Little JR. MD has the Individual type.

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1033214259 NPI number is provided on an as is basis without warranty of any kind. 1033214259 is maintained by the National Plan & Provider Enumeration System. The contents of Wilder Glover Little JR. MD are for informational purposes only.