Individual
DR. GREGORY A WILETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5002 WATERS AVE, SAVANNAH, GA 31404-6226
(912) 344-0040
(912) 786-8943
Mailing address
1111 LAUREL AVE, TYBEE ISLAND, GA 31328-8748
(912) 344-0040
(912) 786-8943
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
060893
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558691881
MEDICARE GROUP
GA
Enumeration date
04/10/2006
Last updated
02/04/2010
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