Wiegand, Stewart E

Wiegand, Stewart E is an sole proprietor health care provider with primary practice located at 755 Mt Vernon Highway Suite 110, Atlanta GA 30328-4276. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Wiegand, Stewart E can be contacted via phone (404) 256-9692.

Contact Information

Primary practice address
755 Mt Vernon Highway Suite 110 Atlanta GA 30328-4276
Phone: (404) 256-9692
Fax: (404) 256-9404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 012988 Georgia

Profile Details

NPI number 1477544138
LBN Legal business name Wiegand, Stewart E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Apr 8th, 2014 - about 11 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 1477544138 NPPES
Georgia Other CM5399 RAILROAD MEDICARE
Georgia MEDICAID 00176481C RAILROAD MEDICARE

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