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Individual

VIDA A WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
594 BLUFF VIEW DR, LAWRENCEVILLE, GA 30043-5486
(404) 447-1719
Mailing address
594 BLUFF VIEW DR, LAWRENCEVILLE, GA 30043-5486
(404) 447-1719

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN232546
GA

Other

Enumeration date
12/23/2025
Last updated
12/23/2025
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