Individual provider · Type 1 NPI

Wilbur T. Little

Specialist · Ellenwood, GA

NPI number 1255567798 Active

Practice location

141 Palisade Point Dr.
Ellenwood, GA 30294

Mailing address

141 Palisade Point Dr
Ellenwood, GA 30294-4528

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1255567798

Wilbur T. Little's National Provider Identifier is 1255567798, issued on Jun 10, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Ellenwood, GA. The record was last updated on Jun 10, 2009.