Individual
MILDRED GAIL WEEDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3411 WAYSIDE RD, KINGSTON, GA 30145-1232
(706) 728-6943
Mailing address
3411 WAYSIDE RD, KINGSTON, GA 30145-1232
(706) 728-6943
Taxonomy
Speciality
Code
Description
License number
State
2278G0305X
Geriatric Care Certified Respiratory Therapist
Primary
2059
GA
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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