Individual
DR. TONY LEE WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
401 LOWELL DR SE STE 12, HUNTSVILLE, AL 35801-3738
(256) 265-6851
(256) 265-6869
Mailing address
PO BOX 2705, HUNTSVILLE, AL 35804-2705
(256) 265-6851
(256) 265-6869
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
DO.1352
AL
208600000X
Surgery Physician
UO2701
FL
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
1352
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232839
—
AL
05
—
233999
—
AL
Enumeration date
06/16/2011
Last updated
10/08/2019
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