Individual
DR. DAVID CHAMBERLAYNE WILDE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(432) 792-1414
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-0100
(432) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD94498
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/02/2019
Last updated
07/23/2025
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