Healthcare Provider Details

I. General information

NPI: 1164432795
Provider Name (Legal Business Name): DANIEL WECHSLER MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2006
Last Update Date: 11/07/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 NORTH DRUID HILLS ROAD NE
ATLANTA GA
30329
US

IV. Provider business mailing address

2200 NORTH DRUID HILLS ROAD NE
ATLANTA GA
30329
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-1112
  • Fax: 404-785-6288
Mailing address:
  • Phone: 404-785-1112
  • Fax: 404-785-6288

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License Number77595
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: