# DR. FELICIE G WYATT

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

## Provider details

- **NPI number:** 1740370261
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | MD.30440 | AL | — |
| 207R00000X | Internal Medicine Physician | ME139323 | FL | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 21128 | MS | — |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 22847 | NE | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 05/10/2021