DR. KIM WILDER-DYER


Address: 700 Church St Ne, Marietta, GA 30060-7220
Phone: 7704201600

DR. KIM WILDER-DYER (NPI# 1629068945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629068945
Entity Type Individual
Full Name DR. KIM WILDER-DYER
Credential MD
Practice Address 700 Church St Ne
Marietta
GA 30060-7220
Practice Telephone 7704201600
Practice Fax Number 7704201612
Mailing Telephone 7704201600
Mailing Fax Number 7704201612
Enumeration Date 2005-10-27
Last Update Date 2020-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 026957 GA Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1810 White Cir Ste 120, Marietta, GA 300665836 7704201600 7704201612

Office Location

Street Address 700 CHURCH ST NE
City MARIETTA
State GA
Zip Code 30060-7220

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912325655 Rheumatology Associates of Marietta Clinic/Center 700 Church St Ne, Marietta, GA 30060-7220 2014-03-31
1992082739 Wellstar Cardiovascular Medicine, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-11-08
1114210127 Wellstar Medical Group, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-05-24
1538465109 Wellstar Medical Group, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2011-01-31
1639302250 Allyson Joy Underwood Nurse Practitioner 700 Church St Ne, Marietta, GA 30060-7220 2009-08-30
1710114517 Xena Antoinette Whittier Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2009-06-18
1326239823 A. Henry Randall Jr. Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2007-08-08
1720287188 Wellstar Rheumatology Associates of Marietta, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2007-07-16
1821044207 Wellstar Marietta Primary Care, LLC Internal Medicine 700 Church St Ne, Marietta, GA 30060-7220 2006-05-26

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144845116 Legacy Center for Spinal Surgery, LLC Neurological Surgery 1900 The Exchange, Ne, Suite 600, Marietta, GA 30060 2020-06-15
1407477193 Michael Cynil Daniel Counselor 698 N Marietta, Pkwy, Marietta, GA 30060 2020-05-04
1285253401 Cameron Thomas Kennelly Student in an Organized Health Care Education/Training Program 677 Church Street Ne Attn:gme, Marietta, GA 30060 2020-04-09
1922640739 Jeremiah George Blair Physician Assistant 61 Whitcher St Suite 2100, Marietta, GA 30060 2019-10-14
1164064945 Denise Alicia Mick Registered Nurse 677 Church St Wellstar Kennestone Hospital, Marietta, GA 30060 2019-10-12
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1346703212 Caitlin Virginia Mueller Student in an Organized Health Care Education/Training Program 677 Church Street Ne, Attn: Gme, Marietta, GA 30060 2019-04-08
1184187205 Adero Francis Student in an Organized Health Care Education/Training Program Wellstar Kennestone Gme Internal Medicine Clinic, 833 Campbell Hill St Nw, Suite 250, Marietta, GA 30060 2019-04-08
1659832749 Matthew Mozzo Student in an Organized Health Care Education/Training Program 677 Church Street / Lower Level, Gme Department / I.m., Marietta, GA 30060 2019-03-29
1245797430 La'myia Spentz Specialist 109 Anderson St Ne, Suite 608, Marietta, GA 30060 2019-02-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1790399475 Janice Carol Gould Internal Medicine 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 2020-09-01
1952914368 Hardy Renew Wellness,llc Internal Medicine 838 Cannon Run Sw, Marietta, GA 30064-4600 2020-08-25
1881202752 Zandoc Group Corp Internal Medicine 2759 Delk Rd Se Ste 1603, Marietta, GA 30067-8887 2020-07-16
1548892458 Atlanta Osteoarthritis Center LLC Internal Medicine 2550 Windy Hill Rd Se Ste 308, Marietta, GA 30067-8655 2020-02-08
1952949893 Dr Amy L Varner LLC Internal Medicine 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 2019-12-11
1184283772 Iora Health Georgia, P.C. Internal Medicine 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 2019-06-07
1295392140 Camden-clark Physician Corporation Internal Medicine 26 Acme St, Marietta, OH 45750-3306 2019-05-28
1821572447 Cies Global - Georgia LLC Internal Medicine 780 Canton Rd Ne Ste 205, Marietta, GA 30060-7242 2018-09-19
1164943510 David Hout Mason Jr. Internal Medicine 3615 Paper Mill Rd Se, Marietta, GA 30067-4938 2017-07-06
1942678628 Claudia Michelle Brauer Ornelas Internal Medicine 401 Matthew St Dept Of, Marietta, OH 45750-1635 2015-09-11
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City MARIETTA
Zip Code 30060

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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