Most Relevant Information
Provider Data
| NPI Number: | 1003445297 |
| Provider Name: | VICKI WETTER NP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN240872 |
Most Important Dates
| Enumeration Date: | 04/08/2020 |
| Last Updated: | 03/09/2022 |
Provider Practice Location
3120 N OAK STREET EXT STE G
VALDOSTA
GA
316025910
Practice Location Phone/Fax
| Phone: | 2296716130 |
| Fax: | 2296716764 |
Provider Mailing Location
3120 N OAK STREET EXT STE C
VALDOSTA
GA
316025910
Provider Mailing Phone/Fax
| Phone: | 2296716130 |
| Fax: |