Individual
SARAH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4534 IDLEWOOD PARK, LITHONIA, GA 30038-6249
(678) 861-6863
Mailing address
4534 IDLEWOOD PARK, LITHONIA, GA 30038-6249
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030022317
GA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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