Individual
MS. DORIS M WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BC
Contact information
Practice address
1292 ATHENS ST, GAINESVILLE, GA 30507-7000
(770) 531-5654
(770) 532-5341
Mailing address
601 S ENOTA DR NE, SUITE Q, GAINESVILLE, GA 30501-2400
(770) 219-8420
(770) 219-8440
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN092374
GA
363LP2300X
Primary Care Nurse Practitioner
RN092374
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876576C
—
GA
05
—
00876576A
—
GA
Enumeration date
03/30/2007
Last updated
02/19/2010
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