Individual
RICHARD GREY WEAVER JR.
Active
Individual
RICHARD GREY WEAVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
21893
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180044468
RR MEDICARE
—
01
—
2674
PARTNERS
—
01
—
32417
MEDCOST
—
05
—
6324258
—
VA
01
—
7778741
AETNA
—
01
—
86187
BCBS
—
05
—
8986187
—
NC
05
—
Q21893
—
SC
Enumeration date
11/28/2005
Last updated
08/23/2010
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