National Provider Identifier Database

JERRY R WILBORN JR, MD – NPI #1629042999
Emergency Medicine

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 physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


Contact Information

JERRY R WILBORN JR, MD
1000 JOHNSON FERRY RD NE
ATLANTA, GA30342-1606
Phone: 404-851-6936
Fax:
Website:
Specialty Taxonomy Code
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for JERRY R WILBORN JR

NPI Number 1629042999
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 11/12/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • GA License #: 045666
  • GA Medicaid: 000792503
  • GA Medicaid: 000792503I
  • GA Medicaid: 000792503J
  • GA Other: 00000011837 1ST MEDICAL NETWORK
  • GA Other: 10038155 AMERIGROUP
  • GA Other: 006083 BCBS
  • GA Other: 380007 BCBS
  • GA Other: 10655 KAISER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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