G Marc Wetherington MD LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

030690 Issued in GA

Legal business name

G MARC WETHERINGTON MD LLC

Practice address

406 E 2ND Ave
Rome, GA 30161-3224

Phone

(706) 235-5119

Fax

(706) 235-5259

NPI assigned

Feb 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kellie Blackmon

Title

Credentialing Specialist

Phone

(770) 748-0309

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1053550186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E 2ND AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-235-5119",
            "fax_number": "706-235-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E 2ND AVE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301613224",
            "telephone_number": "706-235-5119",
            "fax_number": "706-235-5259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G MARC WETHERINGTON MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "BLACKMON",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "770-748-0309"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "GA",
            "license": "030690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neely Frost
• Nicholas Jesse Fuerstenau, MD
• Donna Michele Fuller, FNP-C
• Eric Alan Fuller
• Katherine Furey, DO
• Ga Regional Transport Company, LLC
• Elizabeth H Galland, NP
• Deidra E. Galloway-Couey, LPC
• Roman L Galysh Jr., MD
• Satya Sailaja Bindu Gandrapu Balanaga, MD

• Plastic Surgery Physician in Rome, GA
• Providers in Rome, GA by specialty
• Plastic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.