# WCC 2, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386068864
- **Authorized official:** MRS. LATOYSHA SHANTA DANGLER (BILLING MANAGER)
- **Authorized official phone:** (404) 214-4286

## Contact information

- **Practice address:** 3023 N BALLAS RD BLDG D, SUITE 120D, SAINT LOUIS, MO 63131-2330
- **Practice address phone:** (314) 432-3669
- **Practice address fax:** (314) 432-3118
- **Mailing address:** 5909 PEACHTREE DUNWOODY ROAD SUITE 900, ATLANTA, GA 30328-5388
- **Mailing address phone:** (404) 943-0205
- **Mailing address fax:** (404) 943-0209

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/05/2014
- **Last updated:** 02/05/2014