Courtney Marie Wedgeworth
Plastic Surgeon (Head & Neck) Cardiothoracic Vascular Surgeon
1240 Highway 54 W Ste 710
Fayetteville
, Georgia 30214-4565
Courtney Marie Wedgeworth
Plastic Surgeon (Head & Neck) Cardiothoracic Vascular Surgeon
1240 Highway 54 W Ste 710
Fayetteville
, Georgia 30214-4565
(844) 269-7984
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About
Features
Specialties
- Plastic Surgeon (Head & Neck)
- Cardiothoracic Vascular Surgeon
Languages spoken
- English
Location
First Address
- Courtney Marie Wedgeworth
- 1240 Highway 54 W Ste 710
- Fayetteville, GA
- Zip : 30214-4565
- Fax : (844) 269-7984
- Phone : (678) 534-5922
Second Address
- Courtney Marie Wedgeworth
- 1240 Highway 54 W Ste 710
- Fayetteville, GA
- Zip : 30214-4565
- Fax : (844) 269-7984
- Phone : (678) 534-5922
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 10472 | GA |
| N | 207YX0007X | Plastic Surgeon (Head & Neck) | 324109 | LA |
| Y | 207YX0007X | Plastic Surgeon (Head & Neck) | PA184237 | OR |
| N | 208G00000X | Cardiothoracic Vascular Surgeon | 324109 | LA |
National Provider Identifier
| NPI | 1073041158 |
|---|---|
| Provider Name | Courtney Marie Wedgeworth |
| First Address | Fayetteville, GA 30214-4565 |
| Second Address | Fayetteville, GA 30214-4565 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 01/06/2017 |
| Last Update Date | 18/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.