Individual
DR. JOHN WEATHERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1500 MARKET PLACE BLVD, CUMMING, GA 30041-6060
(770) 888-2323
Mailing address
6342 SYLVESTER ST, PHILADELPHIA, PA 19149-2836
(225) 773-9323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002948
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
06/23/2016
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