Individual
DR. GARY D. WEICHBRODT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1330 CONCORD RD SE, SMYRNA, GA 30080-4375
(770) 433-2821
(770) 433-2823
Mailing address
1330 CONCORD RD SE, SMYRNA, GA 30080-4375
(770) 433-2821
(770) 433-2823
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
031152
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00371236A
—
GA
Enumeration date
05/03/2006
Last updated
02/24/2011
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