Provider Demographics
NPI:1154405876
Name:BAER, WENDY MILES (MD)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MILES
Last Name:BAER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1365 CLIFTON RD NE BLDG C
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-1013
Mailing Address - Country:US
Mailing Address - Phone:404-778-5995
Mailing Address - Fax:404-778-4860
Practice Address - Street 1:1365 CLIFTON RD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-1013
Practice Address - Country:US
Practice Address - Phone:404-778-1900
Practice Address - Fax:404-778-1900
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2014-08-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD000456182084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry