Organization
J. CAROLINE HANEY-WEAVER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRIE CAROLINE HANEY-WEAVER M.D. (SOLO-PRACITITIONER)
(865) 673-0092
Entity
Organization
Contact information
Practice address
930 E EMERALD AVE, SUITE 612, KNOXVILLE, TN 37917-4539
(865) 673-0092
(865) 637-3443
Mailing address
930 E EMERALD AVE, SUITE 612, KNOXVILLE, TN 37917-4539
(865) 673-0092
(865) 637-3443
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
MD40791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528086097
NPI
TN
01
—
4131926
BLUE CROSS BLUE SHIELD
TN
Enumeration date
04/16/2007
Last updated
08/22/2020
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