Stuckey, Wesley Mabry
Stuckey, Wesley Mabry is an individual health care provider with primary practice located at 1525 Chattanooga Rd , Dalton GA 30720-8379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Stuckey, Wesley Mabry can be contacted via phone (706) 226-3373.Contact Information
Primary practice address
1525 Chattanooga Rd
Dalton GA 30720-8379
Phone: (706) 226-3373
Fax: (706) 226-0845
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036620 | Georgia |
Profile Details
NPI number | 1881621142 |
---|---|
LBN Legal business name | Stuckey, Wesley Mabry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 26th, 2006 |
Last updated | Feb 25th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881621142 | NPPES |
Georgia | MEDICAID | 00544321A |
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