Weldon, Jerry Kenneth

Weldon, Jerry Kenneth is an individual health care provider with primary practice located at 172 Professional Park Dr , Clarkesville GA 30523-5536. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Weldon, Jerry Kenneth can be contacted via phone (706) 754-1015.

Contact Information

Primary practice address
172 Professional Park Dr Clarkesville GA 30523-5536
Fax: (706) 754-3359

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 011386 Georgia

Profile Details

NPI number 1013956606
LBN Legal business name Weldon, Jerry Kenneth
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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