Individual
GERI L WEILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Mailing address
2100 HIGHWAY 61 N, VICKSBURG, MS 39183-8211
(601) 883-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
09124
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00114167
—
MS
05
—
1331350
—
LA
01
—
4216226
AETNA
MS
Enumeration date
06/19/2006
Last updated
09/10/2020
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