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Individual

WEEMS R PENNINGTON JR.

Active
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Individual

WEEMS R PENNINGTON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
14977
GA
174400000X
Specialist
18530
SC
207R00000X
Internal Medicine Physician
Primary
14977
GA
207RC0000X
Cardiovascular Disease Physician
14977
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00094179A
GA
05
906988
SC
Enumeration date
09/21/2006
Last updated
06/26/2018
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