Individual
RHONDA ROUSE WACHSMUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 TOWNE LAKE PKWY STE 312, WOODSTOCK, GA 30189-1604
(678) 370-0370
(678) 370-0371
Mailing address
900 TOWNE LAKE PKWY STE 312, WOODSTOCK, GA 30189-1604
(678) 370-0370
(678) 370-0371
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
56664
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1750151
UNITED HEALTHCARE
GA
01
—
87833
BLUE CROSS BLUE SHIELD
GA
Enumeration date
10/18/2006
Last updated
04/06/2020
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