Individual
MR. CHRISTOPHER MORRIS WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
1700 THICKET CV, BELDEN, MS 38826-6008
(662) 617-3771
Mailing address
1700 THICKET CV, BELDEN, MS 38826-6008
(662) 617-3771
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
PTA4436
MS
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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