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Individual

JUELLE EVERNE CHRISTIE WEEKES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115-8015
(770) 224-1000
(770) 224-2451
Mailing address
201 HOSPITAL RD, SUITE 680, CANTON, GA 30114-2408
(770) 720-5100
(404) 851-6325

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
45308
TN
208M00000X
Hospitalist Physician
Primary
069273
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003134804A
GA
Enumeration date
01/20/2008
Last updated
03/14/2018
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