Organization
WCC 2, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATOYSHA SHANTA DANGLER (BILLING MANAGER)
(404) 214-4286
Entity
Organization
Contact information
Practice address
3023 N BALLAS RD BLDG D, SUITE 120D, SAINT LOUIS, MO 63131-2330
(314) 432-3669
(314) 432-3118
Mailing address
5909 PEACHTREE DUNWOODY ROAD SUITE 900, ATLANTA, GA 30328-5388
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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