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Individual

NANCY ELAINE WEIBLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
6908 PROVIDENCE PARK DR S, MOBILE, AL 36695
(251) 660-3490
(251) 660-3491
Mailing address
1490 STONE HEDGE DR, MOBILE, AL 36695-4464
(601) 299-0679

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
12913
MS
207Q00000X
Family Medicine Physician
Primary
MD.30419
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00119477
MS
01
0130116
UNITED HEALTHCARE INDIVIDUAL
MS
01
080154729
MEDICARE RR INDIVIDUAL
MS
01
5266238
AETNA INDIVIDUAL
MS
01
9015909
MEDICAID GROUP
MS
Enumeration date
05/27/2006
Last updated
06/03/2019
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