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1306984323
ROGER LOUIS WEAVER
DOUGLASVILLE, GA
NPI
1306984323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: GA 1530)
Enumeration Date
2007-02-02
Last Update Date
2013-01-07
Business Address
MR. ROGER LOUIS WEAVER PA-C
8491 HOSPITAL DR 176
DOUGLASVILLE, GA 30134-2412
Phone number: 706-645-1046
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Mailing Address
MR. ROGER LOUIS WEAVER PA-C
1009 3RD AVE
WEST POINT, GA 31833-1215
Phone number: 706-645-1046
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