LEAVE IT TO WEAVER MEDICAL NPI 1417633850

NPI Information

NPI: 1417633850
Provider Name: LEAVE IT TO WEAVER MEDICAL
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 44D2254387

Address:
231 S FAIRMONT AVE
MORRISTOWN, TN
ZIP 37813
Phone: (423) 839-1600
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LEAVE IT TO WEAVER MEDICAL is a primary care clinic center in Morristown, TN. LEAVE IT TO WEAVER MEDICAL NPI is 1417633850. The provider is registered as an organization entity type.

The provider's business location address is:

231 S FAIRMONT AVE
MORRISTOWN, TN
ZIP 37813-036
Phone: (423) 839-1600
Fax: (423) 839-1602

The provider's authorized official is Krystal Elizabeth Weaver .
The authorized official title is Owner and has the following contact phone number (423) 839-1600.

The CLIA number assigned to this NPI record is 44D2254387 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2023 and was last updated on 6/22/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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