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1063583763
TED W WEATHERRED
AUGUSTA, GA
NPI
1063583763
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: GA 034979)
Enumeration Date
2006-11-13
Last Update Date
2008-06-15
Business Address
-- TED W WEATHERRED MD
1120 15TH ST ROOM 2144
AUGUSTA, GA 30912-0004
Phone number: 706-721-3873
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Mailing Address
-- TED W WEATHERRED MD
PO BOX 28068
CHATTANOOGA, TN 37424-8068
Phone number: 877-899-1033
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