Individual
ALFREDA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-7796
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-7796
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN091897
GA
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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