Individual
DR. PAUL DOUGLAS WENTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Mailing address
1508 TOMBRAS AVE, EAST RIDGE, TN 37412-2720
(423) 867-4969
(423) 867-4971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40539
TN
207R00000X
Internal Medicine Physician
74929
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003171303A
—
GA
01
—
5462860
BCBS OF TENNESSEE
TN
05
—
Q018129
—
TN
Enumeration date
02/05/2008
Last updated
04/08/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us