Doctor Name: | DR. JAMES HENSON WHEELER |
NPI Number: | 1619922960 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 017903 |
Business Practice Address: | 993 Johnson Ferry Rd Ne Suite 210 Atlanta, GA - 303421620 |
Business Phone Number: | 4042561727 |
Business Fax Number: | 4042560192 |
Mailing Address: | 993 Johnson Ferry Rd Ne, Suite 210 ATLANTA |
State: | GA |
Postal Code: | 303421620 |
Phone Number: | 4042561727 |
Fax Number: | 4042560192 |
NPI Enumeration Date: | 05/24/2006 |
NPI Last Update Date: | 07/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 017903 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |