Individual
AMETHYST WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 MALL ANX, SAVANNAH, GA 31406-4738
(912) 721-8882
(803) 281-8882
Mailing address
1107 E 66TH ST, SAVANNAH, GA 31404-5701
(912) 350-8404
(912) 350-8067
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
078341
GA
Other
Enumeration date
01/21/2014
Last updated
05/03/2022
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