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1053412908
RICHARD EDWARD WILD
DECATUR, GA
NPI
1053412908
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 022194)
Enumeration Date
2006-09-25
Last Update Date
2007-07-08
Business Address
Dr. RICHARD EDWARD WILD M.D.
1275 OAK GROVE DR
DECATUR, GA 30033-2737
Phone number: 404-315-6110
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Mailing Address
Dr. RICHARD EDWARD WILD M.D.
1275 OAK GROVE DR
DECATUR, GA 30033-2737
Phone number: 404-315-6110
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