Individual
DR. ADAM WEATHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4610 29TH AVE, MERIDIAN, MS 39305-1652
(601) 485-7070
Mailing address
4610 29TH AVE, MERIDIAN, MS 39305-1652
(601) 485-7070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3864-16
MS
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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