Phillip Tate Weller is a student in an organized health care education training program in Augusta, GA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Phillip Tate Weller NPI is 1780339010. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1120 15TH ST # GC5110
AUGUSTA, GA
ZIP 30912-004
Phone: (435) 659-4336
The enumeration date for this NPI number is 2/15/2022 and was last updated on 11/4/2022.