person
Chaeli Wisenbaker, PA-C
Medical Physician Assistant in Valdosta, Georgia
NPI 1003229568

Chaeli Wisenbaker is a Medical Physician Assistant based in Valdosta, GA and is specialized in Medical. Chaeli Wisenbaker practices in Valdosta, GA and has the professional credentials of PA-C. The NPI Number for Chaeli Wisenbaker is 1003229568 and holds a License No. (Georgia).

The current practice location address for Chaeli Wisenbaker is 2412 N Oak St, Valdosta, GA and can be reached out via phone at 229-244-1400 and via fax at 229-244-5512. You can also correspond with Chaeli Wisenbaker through the mailing address at 3832 DANE LN, VALDOSTA, GA - 31601 (mailing address contact number: 229-740-3604).

Location: 2412 N Oak St, Valdosta, GA, 31601
person
Provider Profile Details
NPI Number
1003229568
Provider Name
Chaeli Wisenbaker
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
2412 N Oak St, Valdosta, GA, 31601
Phone Number
229-244-1400
Fax Number
229-244-5512
Provider Enumeration Date
06/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7207 01 GA GEORGIA LICENSE
institution
Provider Business Practice Location Address Details
Address
2412 N Oak St
City
State
Zip
31602-2567
Phone Number
229-244-1400
Fax Number
229-244-5512
person
Provider Business Mailing Address Details
Address
2412 N Oak St
City
State
Zip
31602-2567
Phone Number
229-244-1400
Fax Number
229-244-5512
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
(Georgia)
Definition
Definition to come...
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