SearchGeorgia106S00000X

Laquashia Wider, BT

NPI 1992513105 · on the registry since 2024

Practice

Address
120 Berkley Pl
Fayetteville, GA 30214
Phone
(404) 662-9116

Registry record

Primary taxonomy
106S00000X
106S00000X
Sex
Female
Record last updated
2024-12-19

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