Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VF0040X | Female Pelvic Medicine and Reconstructive Surgeon | 029013 | GA |
N | 207VG0400X | Gynecologist | 29013 | GA |
NPI | 1972539146 |
---|---|
Provider Name | Dr. Anne K Wiskind |
First Address | Atlanta, GA 30309-2519 |
Second Address | Atlanta, GA 30303-3031 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2006 |
Last Update Date | 08/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E61952 | (02) | GA |