Individual
PATRICIA ANN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3089 LEE ST SE, SMYRNA, GA 30080-4420
(770) 801-0321
(770) 801-0321
Mailing address
3089 LEE ST SE, SMYRNA, GA 30080-4420
(770) 801-0321
(770) 801-0321
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN213590
GA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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