Organization
DOCTORS WEAVER & WEAVER P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA C SEBESTIN (MANAGER)
(540) 772-7107
Entity
Organization
Contact information
Practice address
5304 INDIAN GRAVE RD SW, SUITE A, ROANOKE, VA 24018-9108
(540) 772-7107
(540) 772-7858
Mailing address
5304 INDIAN GRAVE RD SW, SUITE A, ROANOKE, VA 24018-9108
(540) 772-7107
(540) 772-7858
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
0101033189
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006104321
—
VA
05
—
006196705
—
VA
01
—
C12923
RAILROAD MEDICARE LEGACY
—
Enumeration date
10/10/2006
Last updated
06/05/2008
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