Von Zeschau Wilder, Beatrice U

Von Zeschau Wilder, Beatrice U is an individual health care provider with primary practice located at 1060 Windy Hill Rd Suite 200, Smyrna GA 30080-2065. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Von Zeschau Wilder, Beatrice U can be contacted via phone (770) 941-7709.

Contact Information

Primary practice address
1060 Windy Hill Rd Suite 200 Smyrna GA 30080-2065
Phone: (770) 941-7709
Fax: (770) 941-6441
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 042134 Georgia

Profile Details

NPI number 1770634586
LBN Legal business name Von Zeschau Wilder, Beatrice U
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jul 20th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770634586 NPPES
Georgia MEDICAID 00729286A

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