Individual
MARK J WEINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 RIVER POINTE PKWY, CANTON, GA 30114-2865
(770) 720-4041
(770) 479-4857
Mailing address
800 MOUNT VERNON HWY NE STE 120, ATLANTA, GA 30328-4293
(770) 720-4041
(770) 479-4857
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
33748
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000439348B
—
GA
01
—
180010817
RAILROAD MEDICARE
GA
Enumeration date
08/17/2005
Last updated
12/12/2025
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