MEDICARE: JOSEPH S WILKES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	021442	GA
2	207XS0106X	Orthopaedic Hand Surgery Physician	021442	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	200045074	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659372431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH S WILKES M.D.

Provider Business Mailing Address
First Line	:	900 CIRCLE 75 PKWY SE
Second Line	:	SUITE 1700
City	:	ATLANTA
State	:	GA
Zip	:	30339-3035
Country	:	US
Telephone Number	:	770-953-6929
Fax Number	:	770-953-6972

Provider Business Practice Location Address
First Line	:	105 COLLIER RD NW
Second Line	:	SUITE 2000
City	:	ATLANTA
State	:	GA
Zip	:	30309-1710
Country	:	US
Telephone Number	:	404-352-1053
Fax Number	:	404-350-0840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2005
Last Update Date	:	06/03/2014

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Directions to “ JOSEPH S WILKES M.D.” Practice Location

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