MEDICARE: KATHERINE ELEANOR DUBREUIEL M.D.

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	067629	GA
2	207R00000X	Internal Medicine Physician	67629	GA
3	207Q00000X	Family Medicine Physician	29748	NE
4	207Q00000X	Family Medicine Physician	67629	GA

General Provider Information

NPI Number	:	1881861839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE ELEANOR DUBREUIEL M.D.

Provider Business Mailing Address
First Line	:	3665 SWIFTWATER PARK DR STE 307
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-7179
Country	:	US
Telephone Number	:	470-573-1050
Fax Number	:	470-573-1076

Provider Business Practice Location Address
First Line	:	3665 SWIFTWATER PARK DR STE 307
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-7179
Country	:	US
Telephone Number	:	470-573-1050
Fax Number	:	470-573-1076

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

Provider Enumeration Date	:	05/09/2008
Last Update Date	:	05/19/2026

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Directions to “ KATHERINE ELEANOR DUBREUIEL M.D.” Practice Location

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