Individual
KATHERINE ELEANOR WIEGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
48 MAIN ST STE 3A, SENOIA, GA 30276-1895
(678) 723-0400
Mailing address
643 MAIN ST, PALMETTO, GA 30268-1138
(404) 929-8824
(404) 929-9769
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
067629
GA
207Q00000X
Family Medicine Physician
29748
NE
207Q00000X
Family Medicine Physician
67629
GA
207R00000X
Internal Medicine Physician
67629
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003124917C
—
GA
05
—
003124917D
—
GA
05
—
1881861839
—
NE
Enumeration date
05/09/2008
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us