Individual
DR. GREGORY R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 25TH AVE N STE 602, NASHVILLE, TN 37203
(615) 312-0600
(153) 203-2596
Mailing address
210 25TH AVE N, STE 602, NASHVILLE, TN 37203-1606
(615) 312-0600
(615) 320-3259
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
16640
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1509347
IANP
TN
01
—
3038301
TNONC
TN
05
—
3038301
—
TN
05
—
64038060
—
KY
Enumeration date
12/27/2005
Last updated
07/03/2018
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