Individual
DR. BRYAN CHARLES WEATHERSPOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
51 LINDSEY LN, KINGSLAND, GA 31548-6836
(912) 673-9355
(912) 673-6532
Mailing address
51 LINDSEY LN, KINGSLAND, GA 31548-6836
(912) 673-9355
(912) 673-6532
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
033482
GA
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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