BRIAN WISE WEAVER

ATLANTA, GA
NPI1295924801
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2085R0001X Radiology, Radiation Oncology
(Licence: MI  431053617)
Enumeration Date2007-10-19
Last Update Date2007-10-19
Business Address
-- BRIAN WISE WEAVER
1355 HEATHERLAND DR SW
ATLANTA, GA 30331-7460
Phone number: 573-380-1318
Mailing Address
-- BRIAN WISE WEAVER
1355 HEATHERLAND DR SW
ATLANTA, GA 30331-7460
Phone number: