Individual
DR. GREGORY R WEAVER
Active
Individual
DR. GREGORY R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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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