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Individual

PRISCILLA WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2310 PARKLAKE DR NE STE 535, ATLANTA, GA 30345-2911
(833) 615-1090
(470) 592-6088
Mailing address
2310 PARKLAKE DR NE STE 535, ATLANTA, GA 30345-2911
(833) 615-1090
(470) 592-6088

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
06/02/2021
Last updated
06/02/2021
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