Individual
CHRISTOPHER D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
708 W FOREST AVE, JACKSON, TN 38301-3901
(731) 927-7070
(731) 927-7075
Mailing address
810 W FOREST AVE, JACKSON, TN 38301-3942
(731) 668-1853
(731) 664-7731
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
12442
TN
Other
Enumeration date
12/29/2006
Last updated
10/29/2008
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