Individual
DR. STEVEN TODD WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1540 HIGHWAY 138 SE, SUITE 1B, CONYERS, GA 30013-1297
(770) 761-2302
(770) 761-2303
Mailing address
3224 MERCER UNIVERSITY DR, ATLANTA, GA 30341-5663
(404) 550-1891
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIRO05191
GA
Other
Enumeration date
02/06/2007
Last updated
02/05/2010
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