Mason Weaver, Sydney

Mason Weaver, Sydney is an individual health care provider with primary practice located at 215 Willow Bend Rd , Peachtree City GA 30269-1623. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mason Weaver, Sydney can be contacted via phone (770) 681-0157.

Contact Information

Primary practice address
215 Willow Bend Rd Peachtree City GA 30269-1623
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X ARNP9374594 Florida

Profile Details

NPI number 1134668320
LBN Legal business name Mason Weaver, Sydney
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2017
Last updated Feb 12th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134668320 NPPES
Florida MEDICAID 020286700

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