Individual
MR. ALAN DAVIS WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
(731) 968-1870
Mailing address
9486 HIGHWAY 412 W, LEXINGTON, TN 38351-5713
(731) 968-0984
(731) 967-9764
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1676
TN
207Q00000X
Family Medicine Physician
1676
TN
207R00000X
Internal Medicine Physician
1676
TN
208000000X
Pediatrics Physician
1676
TN
208100000X
Physical Medicine & Rehabilitation Physician
1676
TN
2085P0229X
Pediatric Radiology Physician
1676
TN
208600000X
Surgery Physician
1676
TN
363AM0700X
Medical Physician Assistant
Primary
1676
TN
Other
Enumeration date
01/16/2009
Last updated
06/07/2024
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