Individual
DR. LAURA CATHERINE WIESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, MPH, RN, CNM
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(404) 365-0966
Mailing address
3495 PIEDMONT RD NE BLDG 9, ATLANTA, GA 30305-1729
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
APRN-CNM289959
GA
Other
Enumeration date
08/05/2022
Last updated
11/02/2025
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