Individual
DR. DEVIN RICHARD WIESECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4280 E WEST CONNECTOR SE, SMYRNA, GA 30082-4804
(770) 435-4457
(770) 435-4555
Mailing address
4280 E WEST CONNECTOR SE, SMYRNA, GA 30082-4804
(770) 435-4457
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003013
GA
Other
Enumeration date
06/24/2017
Last updated
07/21/2022
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