MEDICARE: MS. KATE S. WHEELER MD

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	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	50457	GA

General Provider Information

NPI Number	:	1639121056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATE S. WHEELER MD

Provider Business Mailing Address
First Line	:	1110 W PEACHTREE ST NW STE 1100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3609
Country	:	US
Telephone Number	:	404-892-2131
Fax Number	:	404-215-9222

Provider Business Practice Location Address
First Line	:	1110 W PEACHTREE ST NW STE 1100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30309-3609
Country	:	US
Telephone Number	:	404-892-2131
Fax Number	:	404-215-9222

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

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	11/17/2020

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Directions to “ MS. KATE S. WHEELER MD” Practice Location

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