Individual
ANNA WEATHERBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 EXECUTIVE PARK S STE 100, ATLANTA, GA 30329-2248
(404) 778-7645
Mailing address
385 CAMP DOBBS RD, JASPER, GA 30143-6979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN215553
GA
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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