Wetstone, Jordan M
Wetstone, Jordan M is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Wetstone, Jordan M can be contacted via phone (770) 794-0477.Contact Information
Primary practice address
677 Church St Ne
Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 030239 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 030239 | Georgia |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 030239 | Georgia |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 030239 | Georgia |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 0302391 | Georgia |
Profile Details
| NPI number | 1730227018 |
|---|---|
| LBN Legal business name | Wetstone, Jordan M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2007 |
| Last updated | Aug 29th, 2019 - about 5 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 | 1730227018 | NPPES |
| Georgia | MEDICAID | 000428095E |
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