Individual
THOMAS DARRELL WELDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2009 OLD LAFAYETTE RD, FT OGLETHORPE, GA 30742-3510
(706) 861-5950
(706) 858-0475
Mailing address
2009 OLD LAFAYETTE ROAD, FORT OGLETHORPE, GA 30742-3510
(706) 861-5950
(706) 858-0475
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0227745
GA
207V00000X
Obstetrics & Gynecology Physician
17843
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000331471C
—
GA
01
—
0079017
TN BCBS
TN
01
—
024677
GA BCBS
GA
05
—
3030173
—
TN
Enumeration date
06/14/2006
Last updated
03/01/2012
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