Healthcare Provider Details

I. General information

NPI: 1881861839
Provider Name (Legal Business Name): KATHERINE ELEANOR DUBREUIEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHERINE ELEANOR HORSLEY M.D.

II. Dates (important events)

Enumeration Date: 05/09/2008
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3665 SWIFTWATER PARK DR STE 307
SUWANEE GA
30024-7179
US

IV. Provider business mailing address

3665 SWIFTWATER PARK DR STE 307
SUWANEE GA
30024-7179
US

V. Phone/Fax

Practice location:
  • Phone: 470-573-1050
  • Fax: 470-573-1076
Mailing address:
  • Phone: 470-573-1050
  • Fax: 470-573-1076

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number067629
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number67629
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29748
License Number StateNE
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number67629
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: