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1295924801
BRIAN WISE WEAVER
ATLANTA, GA
NPI
1295924801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: MI 431053617)
Enumeration Date
2007-10-19
Last Update Date
2007-10-19
Business Address
-- BRIAN WISE WEAVER
1355 HEATHERLAND DR SW
ATLANTA, GA 30331-7460
Phone number: 573-380-1318
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Mailing Address
-- BRIAN WISE WEAVER
1355 HEATHERLAND DR SW
ATLANTA, GA 30331-7460
Phone number:
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