Individual
VICKI WETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3120 N OAK STREET EXT STE G, VALDOSTA, GA 31602-5910
(229) 671-6130
(229) 671-6764
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6130
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1105457
FL
363L00000X
Nurse Practitioner
Primary
RN240872
GA
Other
Enumeration date
04/08/2020
Last updated
03/09/2022
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