Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | 78802 | GA |
Y | 2080P0202X | Pediatric Cardiologist | 78802 | GA |
NPI | 1255345435 |
---|---|
Provider Name | Dr. Stephanie Burns Wechsler |
First Address | Atlanta, GA 30341-5540 |
Second Address | Atlanta, GA 30322-1013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/07/2006 |
Last Update Date | 25/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1436X | BCBS (01) | NC |
3112575 | (05) | MI |
E66158 | (02) |