Individual
MEGHAN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3625 MAIN ST, PIKEVILLE, TN 37367-5319
(423) 447-6287
Mailing address
PO BOX 308, BENTON, TN 37307-0308
(423) 338-8995
(423) 338-8996
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3744
TN
Other
Enumeration date
01/30/2019
Last updated
04/21/2021
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