Individual
DR. JOHN K WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
35 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 264-6890
Mailing address
35 PROFESSIONAL DR, BRUNSWICK, GA 31520-3773
(912) 264-6890
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
11730
GA
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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