Ensley, Wesley Don

Ensley, Wesley Don is an individual health care provider with primary practice located at 1000 Towne Center Blvd Bldg 1200 , Pooler GA 31322-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ensley, Wesley Don can be contacted via phone (912) 748-2280.

Contact Information

Primary practice address
1000 Towne Center Blvd Bldg 1200 Pooler GA 31322-4129
Fax: (912) 748-4988
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 046086 Georgia

Profile Details

NPI number 1184692790
LBN Legal business name Ensley, Wesley Don
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Jan 5th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184692790 NPPES
Georgia Other P01139727 RAILROAD MEDICARE
Georgia MEDICAID 000801765D RAILROAD MEDICARE

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