Individual
DR. JABE KINNIS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
PO BOX 1212, LIVE OAK, FL 32064-1212
(386) 590-6942
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
55126
FL
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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