Wisebram, Diane Leigh
Wisebram, Diane Leigh is an individual health care provider with primary practice located at 980 Johnson Ferry Rd Ne Suite 820, Atlanta GA 30342-1626. She recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as her primary health care specialty. Wisebram, Diane Leigh can be contacted via phone (404) 252-9307.Contact Information
Primary practice address
980 Johnson Ferry Rd Ne Suite 820
Atlanta GA 30342-1626
Phone: (404) 252-9307
Fax: (404) 252-5839
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 022195 | Georgia |
Profile Details
| NPI number | 1518927110 |
|---|---|
| LBN Legal business name | Wisebram, Diane Leigh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518927110 | NPPES |
| Other | CB5609 | RRMEDICARE |
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