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
Fax: (877) 343-0538
Website:

Health care specialties

SpecialtyCodeLicense #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 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 1386698231 NPPES
Georgia MEDICAID 206704848M

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