Individual
DR. RICHARD ALLEN WILDERMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
120 HICKORY FLAT HWY, HOLLY SPRINGS, GA 30114
(678) 880-6616
Mailing address
120 HICKORY FLAT HWY, HOLLY SPRINGS, GA 30114
(678) 880-6616
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR011200
GA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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