NPI 1619913712

Jonathan S Weiss, MD

Practitioner Dermatology Physician Snellville, GA

Practice location

Address: 2383 Pate St, Snellville, GA 30078
Phone: (770) 972-4845
Fax: (770) 972-0358

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 029820 (GA)

Other Dermatology providers in Georgia →

Registry record

NPI: 1619913712
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2006
Record last updated: 8 Jul 2007

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.