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NPI Code Detail

MEDICARE: WESTON NADHERNY MD

MEDICARE:   WESTON  NADHERNY  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation Physician100534GA
22081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician82028-20WI

General Provider Information

NPI Number : 1881254050
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESTON NADHERNY MD
Provider Business Mailing Address
First Line : 21 ORTHO LN
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2315
Country : US
Telephone Number : 404-778-3350
Fax Number :
Provider Business Practice Location Address
First Line : 21 ORTHO LN
Second Line :
City : ATLANTA
State : GA
Zip : 30329-2315
Country : US
Telephone Number : 404-778-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2019
Last Update Date : 06/01/2026

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Directions to “ WESTON NADHERNY MD” Practice Location

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