MEDICARE: DR. STEPHANIE BURNS WECHSLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0202X	Pediatric Cardiology Physician	78802	GA
2	207SG0201X	Clinical Genetics (M.D.) Physician	78802	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1436X	OTHER	NC	BCBS

General Provider Information

NPI Number	:	1255345435
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE BURNS WECHSLER MD

Provider Business Mailing Address
First Line	:	2970 BRANDYWINE RD STE 125
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30341-5521
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Provider Business Practice Location Address
First Line	:	2174 NORTH DRUID HILLS RD NE
Second Line	:	STE 630
City	:	ATLANTA
State	:	GA
Zip	:	30322-1013
Country	:	US
Telephone Number	:	404-256-2593
Fax Number	:	770-488-9408

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	04/30/2026

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