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Individual
MARY ELIZABETH WEAVER
Active
Individual
MARY ELIZABETH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN266701
GA
164W00000X
Licensed Practical Nurse
LPN045343
GA
Other
Enumeration date
10/08/2014
Last updated
01/10/2023
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