Individual
JULIE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
709 PETERSON AVE N, DOUGLAS, GA 31533-4911
(912) 384-0403
Mailing address
3601 CATTLE XING, VALDOSTA, GA 31605-7759
(614) 774-5384
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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