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Individual

DR. ROBERT B WEINSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
265 N JEFF DAVIS DR, FAYETTEVILLE, GA 30214-1625
(770) 460-7600
(770) 719-0853
Mailing address
1975 HWY 54 W., STE 205, PEACHTREE CITY, GA 30269-4794
(678) 561-9000
(770) 487-1232

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000974
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
202I489455
MEDICARE PTAN
GA
05
212891885A
GA
Enumeration date
06/13/2005
Last updated
12/03/2015
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