Individual
MR. BENJAMIN R WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10677 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-2062
(770) 741-0712
Mailing address
10677 VETERANS MEMORIAL HWY, LITHIA SPRINGS, GA 30122-2062
(770) 741-0712
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
GA
Other
Enumeration date
12/13/2017
Last updated
04/13/2023
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