Individual
KEITH W WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
924 FULTON AVE SW, BIRMINGHAM, AL 35211-1229
(205) 786-0315
(205) 788-2663
Mailing address
924 FULTON AVE SW, BIRMINGHAM, AL 35211-1229
(205) 786-0315
(205) 788-2663
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
00009769
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018378
—
AL
01
—
200004832
RAILROAD MEDICARE
AL
01
—
510-18378
BLUE CROSS OF ALABAMA
AL
Enumeration date
06/30/2006
Last updated
11/30/2010
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