Individual
CAROL A WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2706 N CHURCH ST, GREENSBORO, NC 27405-3657
(336) 272-9990
Mailing address
5775 JULIAN AIRPORT RD, LIBERTY, NC 27298-8036
(336) 253-7463
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
376682
NC
Other
Enumeration date
04/19/2021
Last updated
04/19/2021
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