NPI 1003110081

Kayla Weaver

Practitioner Medical Physician Assistant Athens, GA

Practice location

Address: 3320 Old Jefferson Rd, Athens, GA 30607-1400
Phone: (706) 613-1625

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 6039 (GA)

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Registry record

NPI: 1003110081
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jan 2011
Record last updated: 23 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.