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General NPI Number Information
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NPI Number | 1164432795
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Entity Type | Individual
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Provider Name | DANIEL WECHSLER MD, PHD
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Gender | Male
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2200 NORTH DRUID HILLS ROAD NE
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City | ATLANTA
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State | GA
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Zip | 30329
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Country | US
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Telephone | 404-785-1112
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Fax | 404-785-6288
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Provider Business Mailing Address
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Address Line | 2200 NORTH DRUID HILLS ROAD NE
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City | ATLANTA
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State | GA
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Zip | 30329
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Country | US
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Telephone | 404-785-1112
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Fax | 404-785-6288
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0207X
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Taxonomy Name | Pediatric Hematology & Oncology Physician
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License Number | 77595
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License Number State | GA
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