CHAELI WISENBAKER

VALDOSTA, GA
NPI1003229568
Former NameCHAELI NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
Enumeration Date2014-06-03
Last Update Date2016-05-20
Business Address
-- CHAELI WISENBAKER PA-C
2412 N OAK ST
VALDOSTA, GA 31602-2567
Phone number: 229-244-1400
Mailing Address
-- CHAELI WISENBAKER PA-C
3832 DANE LN
VALDOSTA, GA 31601
Phone number: 229-740-3604
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