Individual
RICHARD E WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
416 E MCPHERSON AVE STE A, NASHVILLE, GA 31639-2277
(229) 686-2093
Mailing address
907 18TH ST E STE 400, TIFTON, GA 31794-3684
(229) 353-3450
(229) 353-6060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00831399G
—
GA
Enumeration date
12/27/2005
Last updated
03/08/2021
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