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1003199480
DEANNA M WILDES
SAVANNAH, GA
NPI
1003199480
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Former Name
DEANNA M MAYBERRY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN077963)
Enumeration Date
2011-09-22
Last Update Date
2022-09-13
Business Address
DEANNA M WILDES RN, BSN
4750 WATERS AVENUE SUITE 500
SAVANNAH, GA 31404-6261
Phone number: 912-352-8346
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Mailing Address
DEANNA M WILDES RN, BSN
PO BOX 116336
ATLANTA, GA 30368-6336
Phone number: 912-352-8346
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