Individual
DR. JORDAN H WEITZNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Mailing address
2020 CUMMING HWY STE 102, CANTON, GA 30115-8071
(678) 593-1295
(678) 593-1294
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
070003
GA
208000000X
Pediatrics Physician
4241
GA
2080P0206X
Pediatric Gastroenterology Physician
Primary
070003
GA
Other
Enumeration date
06/22/2010
Last updated
06/15/2022
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