Wetherington, Robert W

Wetherington, Robert W is an individual health care provider with primary practice located at 2000 Lake Park Dr Se , Smyrna GA 30080-7611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. Wetherington, Robert W can be contacted via phone (678) 556-9411.

Contact Information

Primary practice address
2000 Lake Park Dr Se Smyrna GA 30080-7611
Phone: (678) 556-9411
Fax: (678) 556-9413
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X 044376 Georgia
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X 044376 Georgia
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 044376 Georgia

Profile Details

NPI number 1285613307
LBN Legal business name Wetherington, Robert W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Oct 31st, 2013 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1285613307 NPPES
Georgia MEDICAID 000968019B
Georgia Other 272341992

Popular Providers