| NPI | 1750041075 |
|---|---|
| Doing Business As | KATHERINE WIEGMAN SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | KATHERINE WIEGMAN Owner 478-361-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |