Individual provider · Type 1 NPI

Lois Wilder, PA-C

Medical Physician Assistant · Atlanta, GA

NPI number 1063504686 Active

Practice location

1365A Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

1860 Kathy Whitworth Dr
Braselton, GA 30517-4044

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X002947 (GA)

Medical Physician Assistant: Definition to come...

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About NPI 1063504686

Lois Wilder, PA-C's National Provider Identifier is 1063504686, issued on Sep 29, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Atlanta, GA. The record was last updated on Jul 8, 2007.