Individual
JILL WENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1551 JULIETTE DR, STONE MOUNTAIN, GA 30083-1509
(678) 639-2416
Mailing address
418 MORGAN PL SE, ATLANTA, GA 30317-3423
(773) 573-8197
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-116024
IL
207R00000X
Internal Medicine Physician
Primary
76537
GA
Other
Enumeration date
08/31/2006
Last updated
04/01/2020
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