Individual
JESSICA MARIE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
503 EISENHOWER DR, SAVANNAH, GA 31406-2668
(123) 556-2559
Mailing address
318 MALL BLVD, #300B, SAVANNAH, GA 31406-4797
(912) 358-1515
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
75407
GA
2085R0202X
Diagnostic Radiology Physician
Primary
75407
GA
Other
Enumeration date
08/29/2011
Last updated
03/18/2022
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