SHAW WENDI FORTUCHANG

FAYETTEVILLE, GA
NPI1205952231
Former NameSHAW WENDI WOODS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: GA  66108)
Additional Taxonomies2084F0202X Psychiatry & Neurology, Forensic Psychiatry
(Licence: GA  66108)
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: GA  66108)
Enumeration Date2007-03-21
Last Update Date2014-08-18
Business Address
-- SHAW WENDI FORTUCHANG M.D.
110 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-376-6726
Mailing Address
-- SHAW WENDI FORTUCHANG M.D.
110 N PARK DR
FAYETTEVILLE, GA 30214-1645
Phone number: 770-376-6726