Individual
DR. KASIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD.
Contact information
Practice address
410A W LOUISE ST, CLARKESVILLE, GA 30523-5808
(706) 754-0101
Mailing address
511 RIVER HILL RD, CORNELIA, GA 30531-5903
(706) 768-2954
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH029321
GA
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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