Individual
ASHLEY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3750 SIXES RD, CANTON, GA 30114-7801
(470) 863-2049
Mailing address
3750 SIXES RD, CANTON, GA 30114-7801
(470) 863-2049
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122449
GA
Other
Enumeration date
07/29/2021
Last updated
06/30/2025
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