Gisele Wogbo
Gisele Wogbo is a Family Practice in Kennesaw, Georgia. Qualified in 2009, 17 years ago. Practices with The Southeast Permanente Medical Group, a 826-clinician group and accepts Medicare assignment. Licensed in Georgia.
- Years since qualifying
- 17
- Licensed in
- GA
- In the registry since
- 2022
Practice location Address checks out
750 Townpark Ln NWKennesaw, GA 30144-5579
Phone: (404) 365-0966
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 104254 (GA) |
|---|
Record details
| NPI number | 1063156636 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 20, 2022 |
| Last updated in NPPES | September 16, 2025 |
| Certification date | September 16, 2025 |
| Mailing address | 750 Townpark Ln Nw, Kennesaw, GA 30144-5579 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Group practice | The Southeast Permanente Medical Group — 826 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Kennesaw
-
Dr. Candace Frederick Vaughn, MD
750 Townpark Lane Kaiser Permanente Townpark Comprehensive Medical Ctr, Kennesaw, GA 30144 · (770) 514-5401
-
Wellstar Kennesaw Medical Center, LLC
3805 Cherokee St NW, Kennesaw, GA 30144-2085 · (770) 426-5666
-
Wellstar Medical Group, LLC
3805 Cherokee St NW, Kennesaw, GA 30144-2085 · (770) 426-5666
-
Wellstar Medical Group, LLC
5150 Stilesboro Rd NW Ste 120, Kennesaw, GA 30152-7744 · (678) 354-0230