Fortuchang, Shaw Wendi

Fortuchang, Shaw Wendi is an sole proprietor health care provider with primary practice located at 110 N Park Dr , Fayetteville GA 30214-1645. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Fortuchang, Shaw Wendi can be contacted via phone (770) 376-6726.

Contact Information

Primary practice address
110 N Park Dr Fayetteville GA 30214-1645
Phone: (770) 376-6726
Fax: (770) 376-6727
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X 66108 Georgia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 66108 Georgia
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 66108 Georgia

Profile Details

NPI number 1205952231
LBN Legal business name Fortuchang, Shaw Wendi
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2007
Last updated Aug 18th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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