Organization
RICHARD E WHEELER MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD E WHEELER M.D. (OWNER)
(229) 686-2093
Entity
Organization
Contact information
Practice address
416A E MCPHERSON AVE, NASHVILLE, GA 31639-2275
(229) 686-2093
(229) 686-7150
Mailing address
PO BOX 707, NASHVILLE, GA 31639-0707
(229) 686-2093
(229) 686-7150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
046277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95527
BLUE CROSS OF GA
GA
Enumeration date
03/07/2007
Last updated
04/16/2008
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