Willis, Wendy Summer

Willis, Wendy Summer is an individual health care provider with primary practice located at 531 Seventh Avenue , Albany GA 31701. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Willis, Wendy Summer can be contacted via phone (229) 883-3535.

Contact Information

Primary practice address
531 Seventh Avenue Albany GA 31701
Phone: (229) 883-3535
Fax: (229) 883-3783
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 00306 Alabama

Profile Details

NPI number 1700188232
LBN Legal business name Willis, Wendy Summer
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2010
Last updated Sep 8th, 2020 - about 4 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 1700188232 NPPES
Alabama Other 102I489616 MEDICARE PTAN

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