Katherine Wiley, RD, LD

NPI #1720306871 in Mableton, Georgia

Provider Information

NPI Number: 1720306871
Entity Type: Individual
Name: Katherine Wiley, RD, LD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: RD, LD
Enumeration Date: May 13, 2010
Last Updated: May 13, 2010

Practice Location

Address: 5010 LAKE MIST DR SE
City: Mableton
State: Georgia
ZIP Code: 30126-5980
Phone: (404) 272-3142

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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