Individual
MARK KAINBRIDGE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1250 E 66TH ST, SAVANNAH, GA 31404-5704
(912) 721-8144
Mailing address
2727 W DR MARTIN LUTHER KING JR BLVD STE 640, TAMPA, FL 33607-6399
(813) 872-7582
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME162418
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
GA
Other
Enumeration date
03/25/2018
Last updated
06/27/2023
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