Dr. Stephen William Wilde
Gastroenterologist
700 Sunset Dr Suite 501
Athens
, Georgia 30606-2293
Dr. Stephen William Wilde
Gastroenterologist
700 Sunset Dr Suite 501
Athens
, Georgia 30606-2293
(706) 549-8693
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About
Features
Specialties
- Gastroenterologist
Languages spoken
- English
Location
First Address
- Dr. Stephen William Wilde
- 700 Sunset Dr Suite 501
- Athens, GA
- Zip : 30606-2293
- Fax : (706) 549-8693
- Phone : (706) 208-0065
Second Address
- Dr. Stephen William Wilde
- 700 Sunset Dr Suite 501
- Athens, GA
- Zip : 30606-2293
- Fax : (706) 459-8693
- Phone : (706) 208-0065
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0100X | Gastroenterologist | 033231 | GA |
National Provider Identifier
| NPI | 1023002763 |
|---|---|
| Provider Name | Dr. Stephen William Wilde |
| First Address | Athens, GA 30606-2293 |
| Second Address | Athens, GA 30606-2293 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2005 |
| Last Update Date | 10/04/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00430372A | (05) | GA |
| 279413 | BCBS OF GA (01) | GA |
| E68217 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.