Provider Demographics
NPI:1972772697
Name:WEITZEL, SYBIL STONE (NP)
Entity type:Individual
Prefix:MRS
First Name:SYBIL
Middle Name:STONE
Last Name:WEITZEL
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:20 FRANCIS WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SHARPSBURG
Mailing Address - State:GA
Mailing Address - Zip Code:30277
Mailing Address - Country:US
Mailing Address - Phone:770-253-0611
Mailing Address - Fax:770-502-0521
Practice Address - Street 1:20 FRANCIS WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:SHARPSBURG
Practice Address - State:GA
Practice Address - Zip Code:30277
Practice Address - Country:US
Practice Address - Phone:770-253-0611
Practice Address - Fax:770-502-0521
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2010-09-27
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Provider Licenses
StateLicense IDTaxonomies
GARN051662363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA753554549GHIMedicaid