Individual provider · Type 1 NPI

Chaeli Wisenbaker, PA-C

Medical Physician Assistant · Valdosta, GA

NPI number 1003229568 Active

Practice location

2412 N Oak St
Valdosta, GA 31602-2567

Fax (229) 244-5512

Mailing address

3832 Dane Ln
Valdosta, GA 31601

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1003229568

Chaeli Wisenbaker, PA-C's National Provider Identifier is 1003229568, issued on Jun 3, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Valdosta, GA. The record was last updated on May 20, 2016.