Organization
WEATHERLY MEDICAL/CONSULTANTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN WEATHERLY (PRESIDENT/OWNER)
(912) 351-0760
Entity
Organization
Contact information
Practice address
7135 HODGSON MEMORIAL DR, SUITE 1A, SAVANNAH, GA 31406-2535
(912) 351-0760
(912) 351-0830
Mailing address
PO BOX 395, TYBEE ISLAND, GA 31328-0395
(912) 351-0760
(912) 351-0830
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
532291
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DE1066
—
SC
Enumeration date
06/04/2006
Last updated
08/22/2020
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