Individual
DR. DAVID J WYKSTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1908 ALICE ST, WAYCROSS, GA 31501-6208
(912) 338-6010
(912) 287-2796
Mailing address
1908 ALICE ST, WAYCROSS, GA 31501-6208
(912) 338-6010
(912) 287-2796
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
055907
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
655012398B
—
GA
Enumeration date
05/01/2007
Last updated
03/13/2026
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