Pearson, Wendy C

Pearson, Wendy C is an individual health care provider with primary practice located at 1523 Old Valdosta Rd , Ray City GA 31645-7132. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Pearson, Wendy C can be contacted via phone (877) 543-7221.

Contact Information

Primary practice address
1523 Old Valdosta Rd Ray City GA 31645-7132
Phone: (877) 543-7221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN244149 Georgia

Profile Details

NPI number 1487808754
LBN Legal business name Pearson, Wendy C
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Jul 11th, 2023 - about last year

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 1487808754 NPPES
Georgia MEDICAID 234742011B
Georgia Other RN244149

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