Search › Georgia › 163W00000X
Lisa Wilder
NPI 1598601908 · on the registry since 2026
Practice
- Address
- 2 W Main St
Hampton, GA 30228 - Phone
- (770) 507-7772
- Organisation at this address
- Southern Crescent Sexual Assault Center, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia