Individual
JAMIE D WEISMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5730 GLENRIDGE DR, SUITE T-100, ATLANTA, GA 30328-6141
(404) 939-9220
(404) 939-9221
Mailing address
5730 GLENRIDGE DR, SUITE T-100, ATLANTA, GA 30328-6141
(404) 939-9220
(404) 939-9221
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50088
GA
207NS0135X
Procedural Dermatology Physician
50088
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070016848
MEDICARE RR
GA
01
—
07BBSST
MEDICARE ID
GA
01
—
1134544679
CMS
GA
Enumeration date
07/24/2006
Last updated
07/16/2025
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