Provider Demographics
NPI:1881617462
Name:WOEBER, KATHRYN (CNM)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:WOEBER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:FRANZEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3080 DUNN ST SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4478
Mailing Address - Country:US
Mailing Address - Phone:678-358-8254
Mailing Address - Fax:
Practice Address - Street 1:980 JOHNSON FERRY RD NE
Practice Address - Street 2:SUITE 620
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1626
Practice Address - Country:US
Practice Address - Phone:404-255-2057
Practice Address - Fax:404-256-4238
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2022-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN134704207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA19729P001Medicare UPIN