Provider Demographics
NPI:1053594671
Name:KARCHER, WESLEY ERIC (CRNA)
Entity type:Individual
Prefix:MR
First Name:WESLEY
Middle Name:ERIC
Last Name:KARCHER
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1545 POWERS FERRY RD SE STE 120
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-9401
Mailing Address - Country:US
Mailing Address - Phone:770-580-0979
Mailing Address - Fax:678-383-6735
Practice Address - Street 1:1545 POWERS FERRY RD SE STE 120
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-9401
Practice Address - Country:US
Practice Address - Phone:770-580-0979
Practice Address - Fax:678-383-6735
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2024-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN169969367500000X
NC222091367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8053173Medicaid
NC2606280AMedicare PIN