Individual
SUSAN DIANE HOLDEN WEIKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNM
Contact information
Practice address
11975 MORRIS RD, SUITE 200, ALPHARETTA, GA 30005-4419
(770) 751-3600
Mailing address
6285 BARFIELD RD NE, SUITE 250, ATLANTA, GA 30328-4303
(404) 303-1224
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
RN058373
GA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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