Active NPI
Yourtowndoctor LLC
- Family Medicine Physician
- Suwanee, GA
National Provider Identifier
1750041075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- YOURTOWNDOCTOR LLC
- Doing business as
- Katherine Wiegman Sole MBR
- Practice address
- 3665 Swiftwater Park Dr Ste 307
Suwanee, GA 30024-7179 - Phone
- (478) 361-6055
- NPI assigned
- Dec 28, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Wiegman, MD
- Title
- Owner
- Phone
- (478) 361-6055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3665 Swiftwater Park Dr Ste 307
Suwanee, GA 30024-7179
Mailing address
2902 Planters Mill Dr
Dacula, GA 30019-1680
Phone (478) 361-6055
Other names 1
- Katherine Wiegman Sole MBR
National Provider Directory
National Provider DirectoryLocations
3665 Swiftwater Park Dr
Ste 307
Suwanee, GA 30024
Phone (470) 573-1050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1640649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640649600000",
"number": "1750041075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 PLANTERS MILL DR",
"city": "DACULA",
"state": "GA",
"postal_code": "300191680",
"telephone_number": "478-361-6055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 SWIFTWATER PARK DR STE 307",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300247179",
"telephone_number": "478-361-6055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOURTOWNDOCTOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-28",
"last_updated": "2021-12-28",
"certification_date": "2021-12-28",
"status": "A",
"authorized_official_last_name": "WIEGMAN",
"authorized_official_first_name": "KATHERINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-361-6055",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Katherine Wiegman Sole MBR",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.