Individual
NATASHA ANN WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
208 JULIET DR, HAMPTON, GA 30228-4837
(770) 875-5453
Mailing address
208 JULIET DR, HAMPTON, GA 30228-4837
(770) 875-5453
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
12888
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-1275396
—
GA
Enumeration date
07/20/2018
Last updated
07/20/2018
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