Individual
BEVERLY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 B FAHM ST., SAVANNAH, GA 31401
(912) 651-2253
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN174221
GA
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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