Individual
DR. WENDY HAWKE LENZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 SENECA ST, DECATUR, GA 30030-1811
(770) 883-1581
Mailing address
224 SENECA ST, DECATUR, GA 30030-1811
(770) 883-1581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
27563
GA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
27563
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000308536C
—
GA
Enumeration date
01/03/2006
Last updated
10/02/2014
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