Organization
MARK T. WEAVER, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T. WEAVER M.D. (OWNER/PHYSICIAN)
(706) 856-6939
Entity
Organization
Contact information
Practice address
125 W GIBSON ST, HARTWELL, GA 30643-1848
(706) 856-6939
(706) 836-6199
Mailing address
125 W GIBSON ST, HARTWELL, GA 30643-1848
(706) 856-6939
(706) 836-6199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
052851
GA
Other
Enumeration date
09/06/2006
Last updated
11/20/2007
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