Individual
DR. STEPHEN MARK WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
531 7TH AVE, ALBANY, GA 31701-1921
(229) 883-3535
(229) 888-1079
Mailing address
531 7TH AVE, ALBANY, GA 31701-1921
(229) 883-3535
(229) 888-1079
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000600
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00398956A
—
GA
Enumeration date
08/24/2005
Last updated
12/21/2009
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