Individual
PO EL WENRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 WHITCHER ST NE STE 2100, MARIETTA, GA 30060-1179
(770) 423-0595
(678) 391-5055
Mailing address
60 CHASTAIN CENTER BLVD NW STE 66, KENNESAW, GA 30144-5598
(770) 423-0595
(678) 391-5055
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
8884
GA
Other
Enumeration date
06/07/2018
Last updated
11/06/2025
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