| Katherine Wiegman Sole Mbr | |
|
3665 Swiftwater Park Dr Ste 307 Suwanee GA 30024-7179 | |
| (478) 361-6055 | |
| Not Available |
| Full Name | Katherine Wiegman Sole Mbr |
|---|---|
| Speciality | Family Medicine |
| Location | 3665 Swiftwater Park Dr Ste 307, Suwanee, Georgia |
| Authorized Official Name and Position | Katherine Wiegman (OWNER) |
| Authorized Official Contact | 4783616055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Wiegman Sole Mbr 2902 Planters Mill Dr Dacula GA 30019-1680 Ph: (478) 361-6055 | Katherine Wiegman Sole Mbr 3665 Swiftwater Park Dr Ste 307 Suwanee GA 30024-7179 Ph: (478) 361-6055 |
| NPI Number | 1750041075 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750041075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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