Provider Demographics
NPI:1982776241
Name:GILES, WENDY S (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:S
Last Name:GILES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:140 VANN ST NE
Mailing Address - Street 2:STE 310
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8963
Mailing Address - Country:US
Mailing Address - Phone:678-401-2403
Mailing Address - Fax:678-401-2354
Practice Address - Street 1:140 VANN ST NE
Practice Address - Street 2:STE 310
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8963
Practice Address - Country:US
Practice Address - Phone:678-401-2403
Practice Address - Fax:678-401-2354
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2023-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA33091207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF29786Medicare UPIN
GA16BBCRRMedicare PIN