NPI 1902868565

Garner Johnson Wild, MD

Practitioner Ophthalmology Physician Lexington, SC

Practice location

Address: 100 Palmetto Park Blvd, Lexington, SC 29072
Phone: (803) 806-0080
Fax: (803) 356-0668
Mailing address: PO Box 60371, Charlotte, NC 28260-0371

Registered specialties

Ophthalmology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207W00000X Licence 20350 (SC)

Other Ophthalmology providers in South Carolina →

Registry record

NPI: 1902868565
Entity type: Individual
Sex (as registered): Female
NPI issued: 6 Apr 2006
Record last updated: 17 Aug 2020

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.