Individual
DR. MARC WAHLQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6340 SUGARLOAF PKWY STE 350, DULUTH, GA 30097-4348
(404) 282-1484
(404) 282-0946
Mailing address
275 INTERSTATE NORTH CIR SE STE 500, ATLANTA, GA 30339-2565
(770) 953-6929
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
110622
GA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
35084068
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2595071
—
OH
Enumeration date
10/19/2006
Last updated
04/29/2026
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