Provider Demographics
NPI:1497043889
Name:WEITZMAN, HARMON SAUL (CRNA)
Entity Type:Individual
Prefix:MR
First Name:HARMON
Middle Name:SAUL
Last Name:WEITZMAN
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:ESA ANESTHESIOLOGY
Mailing Address - Street 2:PO BOX 12398
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30368-0398
Mailing Address - Country:US
Mailing Address - Phone:404-778-7088
Mailing Address - Fax:
Practice Address - Street 1:6325 W JOHNS CROSSING
Practice Address - Street 2:C/O ESA-ANESTHESIOLOGY
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-1530
Practice Address - Country:US
Practice Address - Phone:404-788-7088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-19
Last Update Date:2011-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN170857367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered