Most Relevant Information
Provider Data
| NPI Number: | 1003326604 |
| Provider Name: | MITZI WEEKLEY FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN080584 |
Most Important Dates
| Enumeration Date: | 10/09/2017 |
| Last Updated: | 10/01/2019 |
Provider Practice Location
101 WATSON DR STE B
JEFFERSONVILLE
GA
310445508
Practice Location Phone/Fax
| Phone: | 4789456522 |
| Fax: | 4788641288 |
Provider Mailing Location
PO BOX 371
WRIGHTSVILLE
GA
310960371
Provider Mailing Phone/Fax
| Phone: | 4788643448 |
| Fax: | 4788641288 |