Provider Demographics
NPI:1376986794
Name:WEATHERS, KARINA WALKER (MD)
Entity type:Individual
Prefix:
First Name:KARINA
Middle Name:WALKER
Last Name:WEATHERS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 WHITCOMB HL
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-1346
Mailing Address - Country:US
Mailing Address - Phone:850-762-1053
Mailing Address - Fax:701-857-5031
Practice Address - Street 1:1175 N GLYNN ST STE 140
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-1390
Practice Address - Country:US
Practice Address - Phone:678-712-5800
Practice Address - Fax:678-712-5860
Is Sole Proprietor?:No
Enumeration Date:2013-04-16
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA311266207P00000X
ND14167207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine