Weaver, Charles Edward

Weaver, Charles Edward is an individual health care provider with primary practice located at 470 Northside Cherokee Blvd Ste 170 , Canton GA 30115-8029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Weaver, Charles Edward can be contacted via phone (770) 721-9540.

Contact Information

Primary practice address
470 Northside Cherokee Blvd Ste 170 Canton GA 30115-8029
Phone: (770) 721-9540
Fax: (770) 721-9541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 56242 Georgia

Profile Details

NPI number 1801899554
LBN Legal business name Weaver, Charles Edward
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2005
Last updated Feb 26th, 2021 - about 4 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 1801899554 NPPES
Georgia MEDICAID 642893452A
Georgia Other 854350

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