Wetherington, Gary Marc

Wetherington, Gary Marc is an individual health care provider with primary practice located at 506 Riverside Pkwy Ne Suite 200, Rome GA 30161-2902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Wetherington, Gary Marc can be contacted via phone (706) 291-4334.

Contact Information

Primary practice address
506 Riverside Pkwy Ne Suite 200 Rome GA 30161-2902
Phone: (706) 291-4334
Fax: (706) 291-0248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 030690 Georgia

Profile Details

NPI number 1073678066
LBN Legal business name Wetherington, Gary Marc
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Feb 24th, 2009 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073678066 NPPES
Georgia MEDICAID 000393137A
Georgia MEDICAID 000393137B

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