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1184616047
MARK J WEINER
CANTON, GA
NPI
1184616047
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: GA 33748)
Enumeration Date
2005-08-17
Last Update Date
2016-03-14
Business Address
MARK J WEINER M.D.
1320 OAKSIDE DR S202
CANTON, GA 30114-2475
Phone number: 770-720-4041
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Mailing Address
MARK J WEINER M.D.
1320 OAKSIDE DR S202
CANTON, GA 30114-2475
Phone number: 770-720-4041
Copy
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