Individual
DR. JAMES DANIEL WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
213 SAVANNAH AVE, STATESBORO, GA 30458-2001
(912) 681-9292
(866) 811-9195
Mailing address
213 SAVANNAH AVE, STATESBORO, GA 30458-2001
(912) 681-9292
(866) 811-9195
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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