Individual
DR. ELIZABETH DUBE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
101 E I65 SERVICE RD S, MOBILE, AL 36606-3900
(251) 471-5257
Mailing address
8287 PINE RUN, SPANISH FORT, AL 36527-8673
(251) 454-2768
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SA17TA607
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009919175
—
AL
Enumeration date
09/20/2006
Last updated
04/13/2011
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