Individual
MRS. KATHRYN DUDLEY WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACPNP-C
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1311
Mailing address
124 SWEETWATER BRIDGE CIR, DOUGLASVILLE, GA 30134-5503
(251) 895-5914
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN198139
GA
363LP0200X
Pediatric Nurse Practitioner
RN198139
GA
Other
Enumeration date
05/15/2025
Last updated
10/22/2025
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