Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Allan Weatherford

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780363762

Shane Allan Weatherford is a Student in an Organized Health Care Education/Training Program in Atlanta, Georgia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

49 Jesse Hill Jr Dr SE Ste 102
Atlanta, GA 30303-3049
Phone: (404) 778-1372
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780363762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2023
Last updated in NPPESJuly 17, 2023
Certification dateJuly 17, 2023

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