Katherine Wiley, RD, LD is a
Dietitian, Registered based in Mableton, Georgia. Katherine Wiley is licensed to practice in Georgia (license number LD002938) and her current practice location is
5010 Lake Mist Dr Se, Mableton, Georgia. She can be reached at her office (for appointments etc.) via phone at
(404) 272-3142.
NPI number for Katherine Wiley is 1720306871 and her current mailing address is 5010 Lake Mist Dr Se, Mableton, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720306871.
Healthcare Provider's Profile
| Full Name | Katherine Wiley |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 5010 Lake Mist Dr Se, Mableton, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1720306871
- Provider Enumeration Date: 05/13/2010
- Last Update Date: 05/13/2010
Medical Identifiers
Medical identifiers for Katherine Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720306871 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | LD002938 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Wiley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Katherine Wiley, RD, LD
5010 Lake Mist Dr Se,
Mableton, GA 30126-5980
Ph: (404) 272-3142 | Katherine Wiley, RD, LD
5010 Lake Mist Dr Se,
Mableton, GA 30126-5980
Ph: (404) 272-3142 |
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