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Individual

MS. VEORNIA WEAVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
COMMANDER , DDEAMC, CONNELLY HEALTH CLINIC ATT: MCHF - DFCM - CHC, FT GORDON, GA 30905-5650
(706) 787-5174
(706) 787-5145
Mailing address
COMMANDER , DDEAMC, CONNELLY HEALTH CLINIC ATT: MCHF - DFCM - CHC, FT GORDON, GA 30905-5650
(706) 787-5174
(706) 787-5145

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN066828
GA

Other

Enumeration date
04/15/2008
Last updated
04/15/2008
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