Individual
JAROD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
405 LAUREL ST, NASHVILLE, GA 31639-3030
(229) 543-7335
Mailing address
49 LAKEVIEW CHURCH RD, LENOX, GA 31637-5233
(229) 546-5678
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA002695
GA
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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