Von Zeschau Wilder, Beatrice U
Von Zeschau Wilder, Beatrice U is an individual health care provider with primary practice located at 1060 Windy Hill Rd Suite 200, Smyrna GA 30080-2065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Von Zeschau Wilder, Beatrice U can be contacted via phone (770) 941-7709.Contact Information
Primary practice address
1060 Windy Hill Rd Suite 200
Smyrna GA 30080-2065
Phone: (770) 941-7709
Fax: (770) 941-6441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042134 | Georgia |
Profile Details
| NPI number | 1770634586 |
|---|---|
| LBN Legal business name | Von Zeschau Wilder, Beatrice U |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 20th, 2018 - about 6 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 | 1770634586 | NPPES |
| Georgia | MEDICAID | 00729286A |
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