Individual
MRS. BEATRICE U VON ZESCHAU WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1060 WINDY HILL RD, SUITE 200, SMYRNA, GA 30080-2065
(770) 941-7709
(770) 941-6441
Mailing address
1060 WINDY HILL RD, SUITE 200, SMYRNA, GA 30080-2065
(770) 941-7709
(770) 941-6441
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
042134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00729286A
—
GA
Enumeration date
01/16/2007
Last updated
07/20/2018
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