# MONICA H WICHNER DO

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

## Provider details

- **NPI number:** 1548066558
- **Authorized official:** MONICA H WICHNER DO (OWNER)
- **Authorized official phone:** (775) 443-2260

## Contact information

- **Practice address:** 2200 PATRICK HENRY PKWY, MCDONOUGH, GA 30253-4207
- **Practice address phone:** (775) 443-2260
- **Mailing address:** PO BOX 862, MCDONOUGH, GA 30253-0862
- **Mailing address phone:** (775) 443-2260

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/20/2025
- **Last updated:** 02/20/2025