Weichbrodt, Gary D.
Weichbrodt, Gary D. is an sole proprietor health care provider with primary practice located at 1330 Concord Rd Se , Smyrna GA 30080-4375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Weichbrodt, Gary D. can be contacted via phone (770) 433-2821.Contact Information
Primary practice address
1330 Concord Rd Se
Smyrna GA 30080-4375
Phone: (770) 433-2821
Fax: (770) 433-2823
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 031152 | Georgia |
Profile Details
| NPI number | 1538127261 |
|---|---|
| LBN Legal business name | Weichbrodt, Gary D. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 3rd, 2006 |
| Last updated | Feb 24th, 2011 - about 13 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 | 1538127261 | NPPES |
| Georgia | MEDICAID | 00371236A |
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