Individual
ELIJAH FORREST WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 OLD PLEASANT GROVE RD, MOUNT JULIET, TN 37122-4493
(629) 255-2240
(629) 255-4292
Mailing address
222 22ND AVE N, NASHVILLE, TN 37203-1852
(629) 255-3486
(629) 255-3075
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
74221
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q102837
—
TN
Enumeration date
06/24/2021
Last updated
06/24/2025
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