Organization
DAVID WYKSTRA, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WYKSTRA MD (CEO)
(912) 286-9192
Entity
Organization
Contact information
Practice address
2005 PIONEER ST STE C, WAYCROSS, GA 31501-6205
(912) 490-4805
Mailing address
3437 DRIGGERS RD, WAYCROSS, GA 31503-9512
(912) 286-9192
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
03/01/2022
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