Healthcare Provider Details

I. General information

NPI: 1689754699
Provider Name (Legal Business Name): DAVID E WESTERMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2006
Last Update Date: 10/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

993 JOHNSON FERRY RD STE C300
ATLANTA GA
30342-1658
US

IV. Provider business mailing address

993 JOHNSON FERRY RD # C SUITE 300
ATLANTA GA
30342-1620
US

V. Phone/Fax

Practice location:
  • Phone: 404-303-1700
  • Fax: 404-252-8026
Mailing address:
  • Phone: 404-303-1700
  • Fax: 404-252-8026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number02641
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number26410
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number02641
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: