Individual
GEORGIA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-C
Contact information
Practice address
4300 W 7TH ST, LITTLE ROCK, AR 72205-5446
(501) 257-1000
Mailing address
4853 TALL GRASS DR, BENTON, AR 72019-8735
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
A005044
AR
Other
Enumeration date
03/01/2017
Last updated
03/01/2017
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