person
Shane Allan Weatherford
Student in an Organized Health Care Education/Training Program in Atlanta, Georgia
NPI 1780363762

Shane Allan Weatherford is a Student in an Organized Health Care Education/Training Program based in Atlanta, GA. Shane Allan Weatherford practices in Atlanta, GA. The NPI Number for Shane Allan Weatherford is 1780363762 and holds a License No. (Georgia).

The current practice location address for Shane Allan Weatherford is 49 Jesse Hill Jr Dr Se Ste 102, Atlanta, GA and can be reached out via phone at 404-778-1372.

Location: 49 Jesse Hill Jr Dr Se Ste 102, Atlanta, GA, 30303-3049
person
Provider Profile Details
NPI Number
1780363762
Provider Name
Shane Allan Weatherford
Credential
Provider Entity Type
Individual
Gender
Male
Address
49 Jesse Hill Jr Dr Se Ste 102, Atlanta, GA, 30303-3049
Phone Number
404-778-1372
Fax Number
Provider Enumeration Date
07/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49 Jesse Hill Jr Dr Se Ste 102
City
State
Zip
30303-3049
Phone Number
404-778-1372
Fax Number
person
Provider Business Mailing Address Details
Address
49 Jesse Hill Jr Dr Se Ste 102
City
State
Zip
30303-3049
Phone Number
404-778-1372
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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