LOIS WILDER

ATLANTA, GA
NPI1063504686
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  002947)
Enumeration Date2006-09-29
Last Update Date2007-07-08
Business Address
-- LOIS WILDER PA-C
1365A CLIFTON RD NE
ATLANTA, GA 30322-1013
Phone number: 404-778-3956
Mailing Address
-- LOIS WILDER PA-C
1860 KATHY WHITWORTH DR
BRASELTON, GA 30517-4044
Phone number: