Individual
ROBERT G. WEATHERSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 MANCHESTER EXPY, STE A201, COLUMBUS, GA 31904-6802
(706) 320-2766
(706) 320-2768
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
026814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000370444
—
GA
01
—
202I105894
MEDICARE PTAN
GA
Enumeration date
08/02/2005
Last updated
08/07/2024
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