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MITZI WEEKLEY FNP-C

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1003326604

Individual Registrant:
 MITZI  WEEKLEY FNP-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
101 WATSON DR STE B  JEFFERSONVILLE, GA 31044-5508 US
Tel: 478-945-6522  Fax: 478-864-1288

Contact information for business:
PO BOX 371  WRIGHTSVILLE, GA 31096-0371 US
Tel: 478-864-3448  Fax: 478-864-1288

Registration Information:
NPI: 1003326604
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN080584

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICAL LICENSERN080584GA01




HEALTH CARE JOBS GA - Page 1



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