Individual
WILDNA PHILIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
410 MEIJER DR, FLORENCE, KY 41042-5128
(855) 791-7201
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13104
GA
363A00000X
Physician Assistant
—
NY
Other
Enumeration date
05/07/2025
Last updated
08/05/2025
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