Organization
JOHN T WEAVER DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WEAVER D.M.D. (PRES.)
(404) 346-1120
Entity
Organization
Contact information
Practice address
2797 CAMPBELLTON RD SW, SUITE A4, ATLANTA, GA 30311-4455
(404) 346-1120
Mailing address
2797 CAMPBELLTON RD SW, SUITE A4, ATLANTA, GA 30311-4455
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
10938
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000445871B
—
GA
Enumeration date
10/02/2013
Last updated
10/02/2013
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