Individual
DAYNA CHINNERS WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
606 BLACK RIVER RD, GEORGETOWN, SC 29440-3304
(843) 545-5927
(843) 520-4780
Mailing address
PO BOX 421718, GEORGETOWN, SC 29442-4203
(843) 527-7000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AG1018003522396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5749
—
SC
Enumeration date
11/28/2018
Last updated
11/03/2025
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