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General NPI Number Information
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NPI Number | 1154491165
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Entity Type | Individual
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Provider Name | SUSAN WHEATLEY MD
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Gender | Female
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Dates
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Enumeration Date | 11/08/2006
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | PRIME HEALTH MD 1801 PEACHTREE ST NE SUITE 145
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-778-7645
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Fax | 770-664-8298
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Provider Business Mailing Address
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Address Line | PRIME HEALTH MD 1801 PEACHTREE ST NE SUITE 145
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City | ATLANTA
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State | GA
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Zip | 30309
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Country | US
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Telephone | 404-778-7645
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Fax | 678-822-9201
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 031357
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | GA031357
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License Number State | GA
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