Individual
JERE H WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
722 BANK ST NE, DECATUR, AL 35601-1610
(256) 351-1874
(256) 351-1876
Mailing address
722 BANK ST NE, DECATUR, AL 35601-1610
(256) 351-1874
(256) 351-1876
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
11631
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009912888
—
AL
01
—
01-12771
UNITED HEALTH
AL
01
—
010050478
MEDICARE RAILROAD RETIREE
AL
01
—
4585899
AETNA PROVIDER NUMBER
AL
01
—
51025264
BLUE CROSS PROVIDER NUMBE
AL
01
—
515-97711
BCBS
AL
Enumeration date
06/09/2005
Last updated
09/23/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us