Individual
DR. FYAMA PATRICE WENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
69 JESSE HILL JR DR SE, DEPARTMENT OF OB/GYN - 4TH FLOOR, ATLANTA, GA 30303-3033
(404) 251-8801
Mailing address
69 JESSE HILL JR DR SE, ATLANTA, GA 30303-3033
(404) 251-8801
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
062452
GA
207VM0101X
Maternal & Fetal Medicine Physician
Primary
062452
GA
Other
Enumeration date
03/29/2008
Last updated
11/11/2011
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