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Search › Georgia › 363LA2200X

Betty Wickstrom, N.P

NPI 1669405197 · on the registry since 2006

Practice

Address
960 Johnson Ferry Rd Ne
Suite 336
Atlanta, GA 30342
Phone
(404) 252-7400
Fax
(404) 252-1772
Organisation at this address
Atlanta Urological Clinc
Lee Brian Padove M.D. Llc
Premier Care For Women Pc
Mervyn B Forman Md, L.L.C
Raymond V. Caputo, M.D.,P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
363LA2200X
363LA2200X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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