NICOLAS A. WIEDER

KENNESAW, GA
NPI1467500322
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208VP0000X Pain Medicine, Pain Medicine
(Licence: GA  075400)
Additional Taxonomies208VP0000X Pain Medicine, Pain Medicine
(Licence: CA  20A5558)
Enumeration Date2007-01-08
Last Update Date2016-12-02
Business Address
NICOLAS A. WIEDER DO
750 TOWNPARK LANE KAISER PERMANENTE TOWNPARK MEDICAL CENTER
KENNESAW, GA 30144
Phone number: 818-375-2000
Mailing Address
NICOLAS A. WIEDER DO
3495 PIEDMONT ROAD, NE NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone number: 404-504-5678
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