Individual
MARINA SHIKHRIS WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
61 WHITCHER ST NE, SUITE 2150, MARIETTA, GA 30060-1176
(770) 422-4268
(770) 422-2950
Mailing address
1341 CANTON RD, SUITE A, MARIETTA, GA 30066-6056
(770) 422-0517
(678) 638-7015
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
042000
GA
208000000X
Pediatrics Physician
042000
GA
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
Primary
42000
GA
Other
Enumeration date
06/22/2006
Last updated
05/14/2025
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