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Individual

DR. JAMES DANIEL WEATHERS

Active
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Individual

DR. JAMES DANIEL WEATHERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
017901
GA
207RA0401X
Addiction Medicine (Internal Medicine) Physician
017901
GA
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
GA 017901
GA

Other

Enumeration date
06/20/2007
Last updated
02/02/2012
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