Individual
AARON SAMUEL WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1820 HIGHWAY 20 SE STE 146, CONYERS, GA 30013-2076
(770) 929-8872
(770) 929-8890
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002228
GA
Other
Enumeration date
04/11/2013
Last updated
04/11/2013
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