| John T Weaver Dmd Pc | |
|
2797 Campbellton Rd Sw Suite A4 Atlanta GA 30311-4455 | |
| (404) 346-1120 | |
| Not Available |
| Full Name | John T Weaver Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 2797 Campbellton Rd Sw, Atlanta, Georgia |
| Authorized Official Name and Position | John Weaver (PRES.) |
| Authorized Official Contact | 4043461120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John T Weaver Dmd Pc 2797 Campbellton Rd Sw Suite A4 Atlanta GA 30311-4455 Ph: () - | John T Weaver Dmd Pc 2797 Campbellton Rd Sw Suite A4 Atlanta GA 30311-4455 Ph: (404) 346-1120 |
| NPI Number | 1164859344 |
|---|---|
| Provider Enumeration Date | 10/02/2013 |
| Last Update Date | 10/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164859344 | NPI | - | NPPES |
| 000445871B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 10938 (Georgia) | Primary |
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