Dr. Jerry Kenneth Weldon JR.
Endodontist
172 Professional Park Dr
Clarkesville
, Georgia 30523-5536
Dr. Jerry Kenneth Weldon JR.
Endodontist
172 Professional Park Dr
Clarkesville
, Georgia 30523-5536
(706) 754-3359
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About
Features
Specialties
- Endodontist
Languages spoken
- English
Location
First Address
- Dr. Jerry Kenneth Weldon JR.
- 172 Professional Park Dr
- Clarkesville, GA
- Zip : 30523-5536
- Fax : (706) 754-3359
- Phone : (706) 754-1015
Second Address
- Dr. Jerry Kenneth Weldon JR.
- 172 Professional Park Dr
- Clarkesville, GA
- Zip : 30523-5536
- Fax : (706) 754-3359
- Phone : (706) 754-1015
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223E0200X | Endodontist | 011386 | GA |
National Provider Identifier
| NPI | 1013956606 |
|---|---|
| Provider Name | Dr. Jerry Kenneth Weldon JR. |
| First Address | Clarkesville, GA 30523-5536 |
| Second Address | Clarkesville, GA 30523-5536 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.