Individual
DR. JERRIE CAROLINE HANEY-WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Mailing address
501 19TH STREET, SUITE 509, KNOXVILLE, TN 37916-1853
(865) 524-3208
(865) 522-4322
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
40791
TN
207VX0000X
Obstetrics Physician
MD40791
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1154546927
GROUP NPI NUMBER
TN
05
—
3832868
—
TN
01
—
4131926
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/17/2006
Last updated
11/08/2010
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