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Contact Information

RICHARD A WILDERMUTH, DC
120 HICKORY FLAT HWY
HOLLY SPRINGS, GA30114
 Phone: 678-880-6616
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for RICHARD A WILDERMUTH · (Male)

NPI # 1487461547
Status Active
Credentials DC (Doctor of Chiropractic)
Entity Individual
Enumeration date 12/12/2024
Last updated 12/12/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • GA License # CHIR011200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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