NPI 1003229568

Chaeli Wisenbaker, PAC

Practitioner Medical Physician Assistant Valdosta, GA

Practice location

Address: 2412 N Oak St, Valdosta, GA 31602-2567
Phone: (229) 244-1400
Fax: (229) 244-5512
Mailing address: 3832 Dane Ln, Valdosta, GA 31601

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Other Physician Assistant providers in Georgia →

Registry record

NPI: 1003229568
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Jun 2014
Record last updated: 20 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.