Individual
JOHN W. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
905 PHILLIPS AVE, HIGH POINT, NC 27262-7075
(336) 802-2040
(336) 802-2041
Mailing address
1701 WESTCHESTER DRIVE, SUITE 850, HIGH POINT, NC 27262-7254
(336) 802-2400
(336) 802-2001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
31089
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080086048
RAILROAD MEDICARE
NC
05
—
8986164
—
NC
Enumeration date
07/20/2006
Last updated
06/23/2009
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