Little, Wilbur T.

Little, Wilbur T. is an sole proprietor health care provider with primary practice located at 141 Palisade Point Dr. , Ellenwood GA 30294. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Little, Wilbur T. can be contacted via phone (404) 386-7270.

Contact Information

Primary practice address
141 Palisade Point Dr. Ellenwood GA 30294
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1255567798
LBN Legal business name Little, Wilbur T.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 10th, 2009
Last updated Jun 10th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255567798 NPPES
Georgia MEDICAID 870757549

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