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Organization
YOURTOWNDOCTOR LLC
Active
Organization
YOURTOWNDOCTOR LLC
Active
Other names
Katherine Wiegman Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE WIEGMAN MD (OWNER)
(478) 361-6055
Entity
Organization
Contact information
Practice address
3665 SWIFTWATER PARK DR STE 307, SUWANEE, GA 30024-7179
(478) 361-6055
Mailing address
2902 PLANTERS MILL DR, DACULA, GA 30019-1680
(478) 361-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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