Jonathan S Weiss, MD
Dermatology in Snellville, GA. Individual provider (NPI-1).
NPI number1619913712
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1619913712
- Entity type
- Individual (NPI-1)
- Name
- Jonathan S Weiss
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 029820 | GA | Yes |
Practice location
2383 Pate StSnellville, GA 30078
Phone 770-972-4845 · Fax 770-972-0358
Mailing address
2383 Pate StSnellville, GA 30078
Phone 770-972-4845 · Fax 770-972-0358
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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