Individual
DR. GARRET A. WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
90 TRIANGLE STREET, MARTIN, KY 41649
(606) 285-2639
Mailing address
PO BOX 1391, MARTIN, KY 41649-1391
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5388
KY
Other
Enumeration date
04/18/2013
Last updated
04/18/2013
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