# ALBERT J WEAVER MD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haymarket Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538120191
- **Authorized official:** ALBERT JUNIOR WEAVER MD (PHYSICIAN OWNER)
- **Authorized official phone:** (703) 754-4900

## Contact information

- **Practice address:** 14535 JOHN MARSHALL HWY, SUITE 105, GAINESVILLE, VA 20155-4023
- **Practice address phone:** (703) 754-4900
- **Practice address fax:** (571) 261-5235
- **Mailing address:** PO BOX 1256, HAYMARKET, VA 20168-8256
- **Mailing address phone:** (703) 754-4900
- **Mailing address fax:** (571) 261-5235

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 05/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1538120191 | — | VA |