Individual
DR. CARRIE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2741 OLD HOLLOW RD, WALKERTOWN, NC 27051-9529
(336) 595-4588
(336) 595-6277
Mailing address
2630 PETERS CREEK PKWY, WINSTON SALEM, NC 27127-5655
(336) 785-3486
(336) 785-3002
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1593
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0996B
BLUECROSS
NC
05
—
890996B
—
NC
Enumeration date
02/21/2007
Last updated
09/24/2008
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