# WEAVER MEDICAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588383350
- **Authorized official:** KRYSTAL E. WEAVER PA-C (OWNER)
- **Authorized official phone:** (865) 748-6208

## Contact information

- **Practice address:** 231 S FAIRMONT AVE, MORRISTOWN, TN 37813-2036
- **Practice address phone:** (423) 839-1600
- **Practice address fax:** (423) 839-1602
- **Mailing address:** PO BOX 63, MORRISTOWN, TN 37815-0063
- **Mailing address phone:** (865) 748-6208
- **Mailing address fax:** (423) 839-1602

## Taxonomy

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

## Other

- **Enumeration date:** 08/25/2022
- **Last updated:** 01/21/2026