Weaver, Nikki Degeorge

Weaver, Nikki Degeorge is an sole proprietor health care provider with primary practice located at 2301 Newnan Crossing Blvd Ste 160, Newnan GA 30265. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Weaver, Nikki Degeorge can be contacted via phone (770) 254-2224.

Contact Information

Primary practice address
2301 Newnan Crossing Blvd Ste 160 Newnan GA 30265
Phone: (770) 254-2224
Fax: (770) 254-2225
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AUD003619 Georgia
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD003619 Georgia

Profile Details

NPI number 1306806625
LBN Legal business name Weaver, Nikki Degeorge
Credentials AUD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2006
Last updated Dec 11th, 2020 - about 6 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 1306806625 NPPES
Georgia MEDICAID 216785196A

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