1285368498 NPI number — CAROLINE MCLENDON WIELER MS, RDN

Table of content: CAROLINE MCLENDON WIELER MS, RDN (NPI 1285368498)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1285368498 NPI number — CAROLINE MCLENDON WIELER MS, RDN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WIELER
Provider First Name:
CAROLINE
Provider Middle Name:
MCLENDON
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MS, RDN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1285368498
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/13/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1381 DILLARD RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WINDER
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30680-5048
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-375-8403
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11660 ALPHARETTA HWY STE 290
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ROSWELL
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30076-4963
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-375-8403
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/13/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 133V00000X , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)