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Individual

DR. HERBERT FRANK WILD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3175 SATELLITE BLVD, BUILDING 600 SUITE 175, DULUTH, GA 30096-9019
(770) 622-9610
(770) 622-2607
Mailing address
3175 SATELLITE BLVD, BUILDING 600 SUITE 175, DULUTH, GA 30096-9019
(770) 622-9610
(770) 622-2607

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT0001872
GA

Other

Enumeration date
03/26/2008
Last updated
03/26/2008
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