DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHAW WENDI FORTUCHANG, M.D.

Active Sole Proprietor

SHAW WENDI FORTUCHANG, M.D. is a Psychiatry healthcare provider located in FAYETTEVILLE, Georgia. NPI 1205952231 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · FAYETTEVILLE, GA

Registration Details

NPI Number
1205952231
Provider Type
Individual
Gender
Female
NPI Issued
Mar 21, 2007 (19.368950721781 yrs)
Last Updated
Aug 18, 2014
Licenses
66108 (GA)
66108 (GA)
66108 (GA)
Sole Proprietor
Yes

Practice Information

Address
110 N PARK DR
FAYETTEVILLE, GA, 302141645
Browse GA providers · Browse ZIP 30214
Phone
7703766726
Fax
7703766727
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry
Additional Specialty
Psychiatric Neurology

Other Psychiatry Providers in FAYETTEVILLE, GA

Name Credential NPI
DR. GINARI GIBB PRICE M.D. 1689676157
DAUDA A GRIFFIN M.D. 1710924998
GARY BRUCE LEBENDIGER MD 1154465847
DR. ROBERT BOYD HUNTER M.D. 1851547608
DR. ANA MARIA CUEBAS M.D 1417277997
SEFIATU ABU PMHNP-BC 1982391629
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.