Donald Wayne Weatherford, LPC | |
4039 Gateway Blvd, Grovetown, GA 30813-3389 | |
(706) 498-9570 | |
Not Available |
Full Name | Donald Wayne Weatherford |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 4039 Gateway Blvd, Grovetown, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427626670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 013590 (Georgia) | Primary |
Entity Name | Personal Recovery Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096 |
Mailing Address | Practice Location Address |
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Donald Wayne Weatherford, LPC 2135 Ga Highway 171 N, Louisville, GA 30434-3920 Ph: (478) 217-2916 | Donald Wayne Weatherford, LPC 4039 Gateway Blvd, Grovetown, GA 30813-3389 Ph: (706) 498-9570 |
Amrinder Kaur, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4009 Corners Way, Grovetown, GA 30813 Phone: 856-904-2289 | |
Yamil Jose Santana, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 610 Vista Dr, Grovetown, GA 30813 Phone: 706-619-7994 | |
Connor Barnes Thornton, APC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4039 Gateway Blvd, Grovetown, GA 30813 Phone: 706-432-6866 | |
Jillian Kiauna Bursh-puplampu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3065 Lobella Dr, Grovetown, GA 30813 Phone: 225-226-8892 | |
Brandon Christopher Scarboro, LCSW, CMAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2117 Sylvan Lake Dr, Grovetown, GA 30813 Phone: 706-466-9474 | |
Britland Gove Stefani, M.ED., LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4039 Gateway Blvd Ste 201, Grovetown, GA 30813 Phone: 432-686-6706 | |
Shontanae Imani Green, MS, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 247 Sassafras Ln, Grovetown, GA 30813 Phone: 706-631-1882 |