| Brian Justin Wechter, DPT | |
|
1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 | |
| (770) 536-9864 | |
| (770) 297-5023 |
| Full Name | Brian Justin Wechter |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 1240 Jesse Jewell Pkwy Se, Gainesville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760639207 | NPI | - | NPPES |
| PT006988 | Other | GA | PT LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | PT006988 (Georgia) | Primary |
| Provider Name | Northeast Georgia Diagnostic Clinic Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215976634 PECOS PAC ID: 5092700377 Enrollment ID: O20040416000499 |
| Provider Name | Northeast Georgia Diagnostic Associates And Clinic, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1144719311 PECOS PAC ID: 1951655737 Enrollment ID: O20181114000949 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian Justin Wechter, DPT 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864 | Brian Justin Wechter, DPT 1240 Jesse Jewell Pkwy Se, Suite 500, Gainesville, GA 30501-3862 Ph: (770) 536-9864 |
Jessica Ariel Smith, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 597 S Enota Dr Ne, Gainesville, GA 30501 Phone: 770-219-8218 | |
Mr. Edward Davis Ryan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1626 Hastings Ct, Gainesville, GA 30504 Phone: 678-936-0343 Fax: 678-450-6931 | |
Mr. Lee Watkins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 743 Spring St Ne, Gainesville, GA 30501 Phone: 770-219-8200 Fax: 770-219-3862 | |
Sisu Of Georgia, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2360 Murphy Blvd, Gainesville, GA 30504 Phone: 770-535-8372 Fax: 770-535-0252 | |
Tori Pou, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Spring St Se Ste 101, Gainesville, GA 30501 Phone: 770-615-7676 | |
Warner Brock, P.T.,CMDT, MBA, CEAS Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 100 Spring St, Suite B, Gainesville, GA 30501 Phone: 770-532-5721 Fax: 770-532-5929 | |
Kellie Renee Keeney, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1100 Sherwood Park Dr Ne Ste 140, Gainesville, GA 30501 Phone: 770-297-7750 Fax: 770-297-1026 |