Dr. Stephanie L Wetzel
Oral and Maxillofacial Pathology Oral & Maxillofacial Surgeon
2701 N Decatur Rd
Decatur
, Georgia 30033-5918
Dr. Stephanie L Wetzel
Oral and Maxillofacial Pathology Oral & Maxillofacial Surgeon
2701 N Decatur Rd
Decatur
, Georgia 30033-5918
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About
Features
Specialties
- Oral and Maxillofacial Pathology
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. Stephanie L Wetzel
- Po Box 1457
- Bluefield, WV
- Zip : 24701-1457
- Phone :
Second Address
- Dr. Stephanie L Wetzel
- 2701 N Decatur Rd
- Decatur, GA
- Zip : 30033-5918
- Phone : (404) 501-1000
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Is Dr. Stephanie L Wetzel a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0106X | Oral and Maxillofacial Pathology | DN015296 | GA |
| N | 204E00000X | Oral & Maxillofacial Surgeon | DN015296 | GA |
National Provider Identifier
| NPI | 1528217940 |
|---|---|
| Provider Name | Dr. Stephanie L Wetzel |
| First Address | Bluefield, WV 24701-1457 |
| Second Address | Decatur, GA 30033-5918 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/09/2008 |
| Last Update Date | 26/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 003184098B | (05) | GA |
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.