Individual
DR. SHARON LYNN WILT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 PLEASANT VALLEY RD FL 7, OWENSBORO, KY 42303-9811
(270) 417-4705
(270) 417-4709
Mailing address
521 RIVER OVERLOOK, FORSYTH, GA 31029-4898
(601) 942-0179
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
53549
KY
208000000X
Pediatrics Physician
Primary
66842
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124060
—
GA
05
—
03075562
—
MS
Enumeration date
08/08/2006
Last updated
09/05/2024
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