Individual
KORRINE MARIE WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5885 GLENRIDGE DR UNIT 100, SANDY SPRINGS, GA 30328-5512
(678) 321-8546
Mailing address
415 PADDOCK HILL CT, ROSWELL, GA 30075-2150
(845) 399-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
NCO-000001
GA
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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