Individual
WILLIAM RHETT WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 AUSTIN DR, DEMOREST, GA 30535-4513
(706) 754-8518
(706) 754-6238
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
029819
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000509308A
—
GA
01
—
355686
WELLCARE
GA
01
—
DG0044
RR MEDICARE GROUP
GA
Enumeration date
12/01/2005
Last updated
07/10/2023
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