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Individual
CASEY T WEAVER
Active
Individual
CASEY T WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
16800
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000084649
BLUE CROSS
AL
05
—
000084649
—
AL
01
—
11343
HEALTHSPRING OF ALABAMA
AL
01
—
220010597
RAILROAD MEDICARE
AL
01
—
F36121
VIVA
AL
Enumeration date
07/27/2006
Last updated
07/21/2011
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