Individual
MELANIE K. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3200 MACCORKLE AVE SE STE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Mailing address
3200 MACCORKLE AVE SE STE B16, CHARLESTON, WV 25304-1227
(304) 388-5848
(304) 388-9654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-07834
NC
363A00000X
Physician Assistant
Primary
01371
WV
Other
Enumeration date
08/13/2008
Last updated
02/22/2018
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