G Marc Wetherington Md Llc

NPI 1053550186 - Plastic Surgery - 208200000X

NPI Details
NPI 1053550186
Enumeration Date 02/12/2009
Last Updated 01/05/2010
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KELLIE KELLIE
Position CREDENTIALING SPECIALIST
Phone (706) 235-5119
Fax (706) 235-5259
Practice Location
406 E 2ND AVE
ROME GA, 30161-3224, US
Phone (706) 235-5119
Fax (706) 235-5259
Business Location
406 E 2ND AVE
ROME GA, 30161-3224, US
Phone (706) 235-5119
Fax (706) 235-5259
Toxanomy
Taxonomy Code 208200000X
License State Georgia
License Number 030690
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According to our database, G Marc Wetherington Md Llc NPI is 1053550186, taxonomy code is 208200000X and license number is 030690, license state is located at Georgia. G Marc Wetherington Md Llc physically located at 406 E 2nd Ave, Rome GA, 30161-3224. NPI Number 1033115704 has the healthcare provider type.

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1053550186 NPI number is provided on an as is basis without warranty of any kind. 1053550186 is maintained by the National Plan & Provider Enumeration System. The contents of G Marc Wetherington Md Llc are for informational purposes only.