Individual
DR. JOEL R WACHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 WHITCHER ST NE, SUITE 350, MARIETTA, GA 30060-1155
(770) 424-6893
(770) 528-9938
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
54136
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
423844937F
—
GA
Enumeration date
03/09/2006
Last updated
10/16/2019
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