Search › Georgia › 363AS0400X
Don Wakefield, PA
NPI 1568752830 · on the registry since 2011 · sole proprietor
Practice
- Address
- 3657 Canton Rd
Marietta, GA 30066 - Phone
- (770) 926-0062
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 111N00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-04-07
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