Individual
JERE H WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
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