Katherine Eleanor Wiegman, MD | |
48 Main St Ste 3a, Senoia, GA 30276-1895 | |
(678) 723-0400 | |
Not Available |
Full Name | Katherine Eleanor Wiegman |
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Gender | Female |
Speciality | Family Medicine |
Location | 48 Main St Ste 3a, Senoia, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881861839 | NPI | - | NPPES |
003124917C | Medicaid | GA | |
1881861839 | Medicaid | NE | |
003124917D | Medicaid | GA |
Entity Name | Yourtowndoctor Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750041075 PECOS PAC ID: 4880087972 Enrollment ID: O20220214001766 |
Mailing Address | Practice Location Address |
---|---|
Katherine Eleanor Wiegman, MD 643 Main St, Palmetto, GA 30268-1138 Ph: (404) 929-8824 | Katherine Eleanor Wiegman, MD 48 Main St Ste 3a, Senoia, GA 30276-1895 Ph: (678) 723-0400 |
Deborah Mischelle Scott, RN, FNP-C Family Medicine Medicare: Medicare Enrolled Practice Location: 7285 Highway 16 Ste C, Senoia, GA 30276 Phone: 678-516-4457 | |
Monica Olenna Watts, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7990 Wells St Ste 100, Senoia, GA 30276 Phone: 470-947-6010 | |
Wanda E Guy-craft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 48 Main St Ste 3a, Senoia, GA 30276 Phone: 678-723-0400 Fax: 770-566-9779 | |
Dr. Billy Eugene Greening, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7285 Highway 16, Suite C, Senoia, GA 30276 Phone: 770-599-0505 | |
Leslie Isabel Perez, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 48 Main St Ste 3a, Senoia, GA 30276 Phone: 678-723-0400 Fax: 770-599-9779 |