# ERIC L WILDER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1386056992
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 201679 | NC | — |
| 207Q00000X | Family Medicine Physician | 2017-00843 | NC | — |
| 207Q00000X | Family Medicine Physician | 333104 | LA | Yes |

## Other

- **Enumeration date:** 05/30/2014
- **Last updated:** 01/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 201679 | RTL | NC |
| 01 | — | 2017-00843 | MEDICAL LICENSE | NC |