Individual
TERRI H WILDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
400 SILO CIR, PERRY, GA 31069-9832
(229) 560-8181
Mailing address
400 SILO CIR, PERRY, GA 31069-9832
(229) 560-8181
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN076912
GA
Other
Enumeration date
09/15/2014
Last updated
10/09/2025
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