Vandemark, Wendy Liana
Vandemark, Wendy Liana is an individual health care provider with primary practice located at 2109 N Patterson St Ste B , Valdosta GA 31602-2577. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Vandemark, Wendy Liana can be contacted via phone (229) 232-4833.Contact Information
Primary practice address
2109 N Patterson St Ste B
Valdosta GA 31602-2577
Phone: (229) 232-4833
Fax: (877) 343-0538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 29113 | Mississippi |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 64010 | Tennessee |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 4301075774 | Michigan |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 30685 | West Virginia |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 57511 | Georgia |
Profile Details
| NPI number | 1386698231 |
|---|---|
| LBN Legal business name | Vandemark, Wendy Liana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Mar 15th, 2023 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386698231 | NPPES |
| Georgia | MEDICAID | 206704848M |
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