Provider Demographics
NPI:1578260410
Name:WESTON, PATIRICIA ANN
Entity Type:Individual
Prefix:
First Name:PATIRICIA
Middle Name:ANN
Last Name:WESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 S MADISON ST
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31701-2855
Mailing Address - Country:US
Mailing Address - Phone:770-375-0809
Mailing Address - Fax:
Practice Address - Street 1:302 S MADISON ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31701-2855
Practice Address - Country:US
Practice Address - Phone:770-375-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)