Doctor Name: | KATHERINE WILEY |
NPI Number: | 1720306871 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | LD002938 |
Business Practice Address: | 5010 Lake Mist Dr Se Mableton, GA - 301265980 |
Business Phone Number: | 4042723142 |
Business Fax Number: | 7708181624 |
Mailing Address: | 5010 Lake Mist Dr Se, MABLETON |
State: | GA |
Postal Code: | 301265980 |
Phone Number: | 4042723142 |
Fax Number: | 7708181624 |
NPI Enumeration Date: | 05/13/2010 |
NPI Last Update Date: | 05/13/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002938 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |