Individual
MR. JEFFREY PHILIP WEEMS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
178 FOX RIDGE RD, DOUGLAS, GA 31535-5628
(912) 384-3172
Mailing address
178 FOX RIDGE RD, DOUGLAS, GA 31535-5628
(912) 384-3172
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
581
GA
Other
Enumeration date
10/07/2005
Last updated
07/08/2007
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