Individual
CARRIE GRANGER WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010-3369
(256) 329-7100
Mailing address
3316 HIGHWAY 280, ALEXANDER CITY, AL 35010-3369
(256) 329-7100
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-101229
AL
Other
Enumeration date
03/10/2009
Last updated
03/10/2009
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