Individual
DR. SAMUEL GARRETT WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8193
Mailing address
100 SAINT GEORGE BLVD APT 311, SAVANNAH, GA 31419-9317
(912) 536-9313
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
99893
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/29/2020
Last updated
07/18/2024
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