Most Relevant Information
Provider Data
| NPI Number: | 1003199480 |
| Provider Name: | DEANNA M WILDES RN, BSN |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN077963 |
Most Important Dates
| Enumeration Date: | 09/22/2011 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
4750 WATERS AVENUE
SUITE 500
SAVANNAH
GA
314046261
Practice Location Phone/Fax
| Phone: | 9123528346 |
| Fax: | 9123551414 |
Provider Mailing Location
PO BOX 116336
ATLANTA
GA
303686336
Provider Mailing Phone/Fax
| Phone: | 9123528346 |
| Fax: | 9123551414 |