Provider Demographics
NPI:1922021443
Name:WEEMS, JANA LENNON (PT)
Entity Type:Individual
Prefix:MS
First Name:JANA
Middle Name:LENNON
Last Name:WEEMS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:176 STEEL BRIDGE PT
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-8179
Mailing Address - Country:US
Mailing Address - Phone:706-473-3313
Mailing Address - Fax:478-452-6255
Practice Address - Street 1:101 LAKE OCONEE PKWY
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-8512
Practice Address - Country:US
Practice Address - Phone:706-923-2015
Practice Address - Fax:706-749-7951
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA8773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA8773OtherPHYSICAL THERAPIST