Individual
DR. ROSE ANN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
172 NORTH MAIN ST, MADISON, GA 30650
(706) 342-4106
(706) 343-0046
Mailing address
172 NORTH MAIN ST, MADISON, GA 30650
(706) 342-4106
(706) 343-0046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
13701
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00024032A
—
GA
Enumeration date
09/05/2006
Last updated
03/25/2010
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