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Search › Georgia › 101YA0400X

Jonathan Wiesner, CAC II

NPI 1497160394 · on the registry since 2014

Practice

Address
250 Scenic Hwy
Lawrenceville, GA 30046
Phone
(678) 442-5800
Organisation at this address
Summitridge
Summitridge
R. Michael Allen, Mdpc
Uhs Of Summitridge, Llc
Uhs Of Summitridge, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-06-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia