Individual
JAMES MARCUS WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
160 CENTRAL AVE, TRION, GA 30753-1125
(706) 734-7302
(706) 734-7356
Mailing address
PO BOX 12938, CALHOUN, GA 30703-7013
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6558
GA
Other
Enumeration date
10/07/2005
Last updated
04/24/2023
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