Healthcare Provider Details

I. General information

NPI: 1679436984
Provider Name (Legal Business Name): TENDRIA WEEKS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1311 MOUNT ZION RD STE B SUITE 043
MORROW GA
30260-2325
US

IV. Provider business mailing address

1311 MOUNT ZION RD STE B
MORROW GA
30260-2325
US

V. Phone/Fax

Practice location:
  • Phone: 678-216-2255
  • Fax:
Mailing address:
  • Phone: 678-216-2255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: