YOURTOWNDOCTOR LLC NPI 1750041075

NPI Information

  • NPI: 1750041075
  • Provider Name: YOURTOWNDOCTOR LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 11D2260240
  • Address: 3665 SWIFTWATER PARK DR STE 307
    SUWANEE, GA
    ZIP 30024
  • Phone: (478) 361-6055

Map and Directions

Get Directions

NPI Details

YOURTOWNDOCTOR LLC is a family medicine in Suwanee, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. YOURTOWNDOCTOR LLC NPI is 1750041075. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3665 SWIFTWATER PARK DR STE 307
SUWANEE, GA
ZIP 30024-179
Phone: (478) 361-6055

The provider's authorized official is Katherine Wiegman .
The authorized official title is Owner and has the following contact phone number (478) 361-6055.

The CLIA number assigned to this NPI record is 11D2260240 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/28/2021 and was last updated on 12/28/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI