MEDICARE: MS. MARGARET SUE WIEDMANN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	RN714265	GA

General Provider Information

NPI Number	:	1285564559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET SUE WIEDMANN FNP

Provider Business Mailing Address
First Line	:	219 SUGAR VALLEY RD SW
Second Line	:
City	:	CARTERSVILLE
State	:	GA
Zip	:	30120-5815
Country	:	US
Telephone Number	:	321-431-4319
Fax Number	:

Provider Business Practice Location Address
First Line	:	677 CHURCH ST NE
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30060-1101
Country	:	US
Telephone Number	:	770-793-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2026
Last Update Date	:	05/20/2026

Similar Medicare Providers

1659696912 — ANDREA D. GERMOND M.D.
Practice Location Address:

1101 MEDICARE CTR. BLVD. , HOSPITALIST DEPARTMENT
MARRERO, LA
70072

Practice Phone: 504-349-1656
Practice Fax: 504-349-1933

1700717162 — MALLORY ALEXIS DUSHANE RN
Practice Location Address:

677 CHURCH ST NE
MARIETTA, GA
30060-1101

Practice Phone: 770-793-5000
Practice Fax:

1730685546 — MICHELLE ALEJANDRA MALONE PA-C
Practice Location Address:

677 CHURCH ST NE STE 100
MARIETTA, GA
30060-1101

Practice Phone: 770-422-2326
Practice Fax: 770-422-7797

1508668138 — PIAWOH NGWE BUJUNG MD
Practice Location Address:

677 CHURCH ST NE
MARIETTA, GA
30060-1101

Practice Phone: 678-333-9753
Practice Fax:

1710816814 — ADVANCED SURGICAL SERVICES, LLC
Practice Location Address:

677 CHURCH ST NE
MARIETTA, GA
30060-1101

Practice Phone: 770-793-5000
Practice Fax:

1841285095 — GRACE S KIM MD
Practice Location Address:

677 CHURCH ST NE
MARIETTA, GA
30060-1101

Practice Phone: 770-794-0477
Practice Fax: 770-794-3108

Directions to “ MS. MARGARET SUE WIEDMANN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.