DR. ROBERT JOHN WIEDEMEYER M.D.
NPI 1114283454
Psychiatry & Neurology - Neurology in St Simons Island, GA
- Individual
- Male
- Psychiatry & Neurology
- Neurology
About ROBERT WIEDEMEYER
This page provides the complete NPI Profile along with additional information for Robert Wiedemeyer, a provider established in St Simons Island, Georgia with a medical specialization in Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1114283454 assigned on April 2012. The practitioner's primary taxonomy code is 2084N0400X with license number 29559 (GA). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1114283454 Verify this NPI
- Provider Name
- DR. ROBERT JOHN WIEDEMEYER M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1519 OCEAN BLVD ST SIMONS ISLAND, GA 31522
- Location Phone
- (912) 638-7954
- Mailing Address
- 1519 OCEAN BLVD ST SIMONS ISLAND, GA 31522
- Mailing Phone
- (912) 638-7954
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-10-2012
- Last Update Date
- 04-10-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 29559
- License State
- GA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114283454, enumerated as an "individual" on April 10, 2012.
The provider is located at 1519 OCEAN BLVD ST SIMONS ISLAND, GA 31522 and the phone number is (912) 638-7954.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
