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1245581602
JANICE MAY WILDER
CARROLLTON, GA
NPI
1245581602
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA 150905)
Enumeration Date
2012-09-26
Last Update Date
2016-06-11
Business Address
-- JANICE MAY WILDER NP
2183 E HIGHWAY 5
CARROLLTON, GA 30116-7716
Phone number: 770-314-2018
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Mailing Address
-- JANICE MAY WILDER NP
2183 E HIGHWAY 5
CARROLLTON, GA 30116-7716
Phone number: 770-314-2018
Copy
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