| Dr Doris Louise Wilder, MD | |
|
1010 W Franklin St, Sylvester, GA 31791-1900 | |
| (229) 776-3500 | |
| (229) 777-8269 |
| Full Name | Dr Doris Louise Wilder |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1010 W Franklin St, Sylvester, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760476774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 056785 (Georgia) | Primary |
| Entity Name | Tift Regional Health System, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790280857 PECOS PAC ID: 5193619971 Enrollment ID: O20040212000064 |
| Entity Name | Tift Regional Health System Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881203305 PECOS PAC ID: 2062745169 Enrollment ID: O20200217002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Doris Louise Wilder, MD 907 18th St E Ste 400, Tifton, GA 31794-3684 Ph: (229) 353-3450 | Dr Doris Louise Wilder, MD 1010 W Franklin St, Sylvester, GA 31791-1900 Ph: (229) 776-3500 |
Shivan Narendra Patel, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 W Franklin St, Sylvester, GA 31791 Phone: 229-776-2965 | |
Dr. Edward King Bass Iii, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 W Franklin St, Sylvester, GA 31791 Phone: 229-776-2965 Fax: 229-776-4452 | |
Dr. Wallace A Ajakaiye, M.D Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1014 W Franklin St, Sylvester, GA 31791 Phone: 229-776-2965 | |
Dr. Martha Louise Cooper, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 807 S Isabella St, Sylvester, GA 31791 Phone: 229-776-9143 | |
Natu M Patel, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 813 S Isabela Street, Suite A, Sylvester, GA 31791 Phone: 229-776-7706 Fax: 229-776-2147 |