Individual
CAROLYN J WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD NE, ATLANTA, GA 30342-1606
(404) 851-8000
Mailing address
5605 GLENRIDGE DR STE 325, ATLANTA, GA 30342-1365
(678) 553-7783
(678) 553-7793
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
056243
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
743819847
—
GA
Enumeration date
02/17/2006
Last updated
05/06/2019
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