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Lance Jordan Wiist, MD
Obstetrics & Gynecology Physician in Lawrenceville, Georgia
NPI 1487708103

Lance Jordan Wiist is a Obstetrics & Gynecology Physician based in Lawrenceville, GA. Lance Jordan Wiist practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Lance Jordan Wiist is 1487708103 and holds a License No. 033754 (Georgia).

The current practice location address for Lance Jordan Wiist is 761 Old Norcross Rd, Lawrenceville, GA and can be reached out via phone at 770-513-4000.

Location: 761 Old Norcross Rd, Lawrenceville, GA, 30046-4317
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487708103
Provider Name
Lance Jordan Wiist
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
761 Old Norcross Rd, Lawrenceville, GA, 30046-4317
Phone Number
770-513-4000
Fax Number
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00446993A 05 GA
619666 01 GA BLUE CROSS BLUE SHIELD GA
160054732 01 GA PALMETTO GBA RAILROAD
000446993A 01 GA PEACHSTATE
00446993A 01 GA WELLCARE
institution
Provider Business Practice Location Address Details
Address
761 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30046-4317
Phone Number
770-513-4000
Fax Number
person
Provider Business Mailing Address Details
Address
761 Old Norcross Rd
City
Lawrenceville
State
Georgia
Zip
30046-4317
Phone Number
770-513-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
033754 (Georgia)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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