Individual
MARY ELIZABETH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN
Contact information
Practice address
802 HWY 119 S, SPRINGFIELD, GA 31329
(912) 754-6484
(912) 754-7623
Mailing address
150 SCRANTON CONNECTOR, BRUNSWICK, GA 31525-0540
(912) 754-6484
(912) 754-7623
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN266701
GA
164W00000X
Licensed Practical Nurse
LPN045343
GA
Other
Enumeration date
10/08/2014
Last updated
01/10/2023
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