Individual
BEVERLEE M WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 2ND AVE SE, CAIRO, GA 39828-2725
(229) 377-0882
(229) 377-0883
Mailing address
P.O. BOX 2476, THOMASVILLE, GA 31799-4748
(229) 228-4155
(229) 226-2321
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006366
GA
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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