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Individual

DR. DORIS LOUISE WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1010 W FRANKLIN ST, SYLVESTER, GA 31791-1900
(229) 776-3500
(229) 777-8269
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3450
(229) 353-6060

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
056785
GA

Other

Enumeration date
09/06/2005
Last updated
03/08/2021
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