Gary Marc Wetherington
Plastic and Reconstructive Surgery
506 Riverside Pkwy Ne Suite 200
Rome
, Georgia 30161-2902
Gary Marc Wetherington
Plastic and Reconstructive Surgery
506 Riverside Pkwy Ne Suite 200
Rome
, Georgia 30161-2902
(706) 291-0248
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About
Features
Specialties
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Gary Marc Wetherington
- Po Box 468
- Rome, GA
- Zip : 30162-0468
- Fax : (706) 291-0248
- Phone : (706) 291-4334
Second Address
- Gary Marc Wetherington
- 506 Riverside Pkwy Ne Suite 200
- Rome, GA
- Zip : 30161-2902
- Fax : (706) 291-0248
- Phone : (706) 291-4334
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 030690 | GA |
National Provider Identifier
| NPI | 1073678066 |
|---|---|
| Provider Name | Gary Marc Wetherington |
| First Address | Rome, GA 30162-0468 |
| Second Address | Rome, GA 30161-2902 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2006 |
| Last Update Date | 24/02/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000393137A | (05) | GA |
| 000393137B | (05) | GA |
| D31314 | (02) |
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.