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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRIAM P GWATHNEY, DO

Active

MIRIAM P GWATHNEY, DO is a Family Medicine healthcare provider located in FOREST PARK, Georgia. NPI 1881698546 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · FOREST PARK, GA

Registration Details

NPI Number
1881698546
Provider Type
Individual
Gender
Female
NPI Issued
Jun 10, 2005 (20.996615662515 yrs)
Last Updated
May 2, 2023
Licenses
OS8157 (GA)
063343 (GA)

Practice Information

Address
1057 MAIN ST
FOREST PARK, GA, 302971482
Browse GA providers · Browse ZIP 30297
Phone
4043014555
Fax
4043014482
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in FOREST PARK, GA

Name Credential NPI
FAITH ADONIS ANDREWS MD 1558430280
DR. ANGELA EVANS DO 1295967404
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.