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Richard Wild, M.D
NPI 1053412908 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1275 Oak Grove Dr
Decatur, GA 30033 - Phone
- (404) 315-6110
- Fax
- (404) 315-6074
Registry record
- Primary taxonomy
- Emergency Medicine Physician
207P00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia