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Contact Information

WILBUR T LITTLE
141 PALISADE POINT DR.
ELLENWOOD, GA30294
 Phone: 404-386-7270
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for WILBUR T LITTLE · (Male)

NPI Number 1255567798
Status Active
Credentials
Entity Individual
Enumeration date 06/10/2009
Last updated 06/10/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • GA Medicaid 870757549
Hospital affiliation(s) Not Available
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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