Katherine Wiley RD, LD

NPI 1720306871 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1720306871
Gender Female
Enumeration Date 05/13/2010
Last Updated 05/13/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
5010 LAKE MIST DR SE
MABLETON GA, 30126-5980, US
Phone (404) 272-3142
Fax (770) 818-1624
Business Location
5010 LAKE MIST DR SE
MABLETON GA, 30126-5980, US
Phone (404) 272-3142
Fax (770) 818-1624
Toxanomy
Taxonomy Code 133V00000X
License State Georgia
License Number LD002938
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According to our database, Katherine Wiley RD, LD NPI is 1720306871, taxonomy code is 133V00000X and license number is LD002938, license state is located at Georgia. Katherine Wiley RD, LD physically located at 5010 Lake Mist Dr Se, Mableton GA, 30126-5980. NPI Number Katherine Wiley RD, LD has the Individual type.

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1720306871 NPI number is provided on an as is basis without warranty of any kind. 1720306871 is maintained by the National Plan & Provider Enumeration System. The contents of Katherine Wiley RD, LD are for informational purposes only.