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Individual
DR. MARTIN WEAVER
Active
Individual
DR. MARTIN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
86393
GA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
ME141148
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2016
Last updated
08/31/2021
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