Healthcare Provider Details

I. General information

NPI: 1932280682
Provider Name (Legal Business Name): THOMAS W WEHMANN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2006
Last Update Date: 03/04/2025
Certification Date: 03/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1061 PARK DR
GREENSBORO GA
30642-3465
US

IV. Provider business mailing address

1109 MEDICAL CENTER DR BLDG 1A
AUGUSTA GA
30909-6633
US

V. Phone/Fax

Practice location:
  • Phone: 866-328-8346
  • Fax:
Mailing address:
  • Phone: 706-854-3333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number061183
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number061183
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: