Individual
MS. KIMBERLY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-9850
Mailing address
35 JESSE HILL JR DR SE, ATLANTA, GA 30303-3032
(404) 785-9850
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
003327
GA
Other
Enumeration date
08/20/2007
Last updated
08/20/2007
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