Individual provider · Type 1 NPI

Po El Wenrick, PA

Surgical Physician Assistant · Marietta, GA

NPI number 1083107718 Active

Practice location

61 Whitcher St NE Ste 2100
Marietta, GA 30060-1179

Call (770) 423-0595 Map

Fax (678) 391-5055

Mailing address

60 Chastain Center Blvd NW Ste 66
Kennesaw, GA 30144-5598

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X8884 (GA)

Surgical Physician Assistant: Definition to come...

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About NPI 1083107718

Po El Wenrick, PA's National Provider Identifier is 1083107718, issued on Jun 7, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Marietta, GA. The record was last updated on Nov 6, 2025.