Organization
NANCY E WEIBLE
Active
Other names
NAN Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY ELAINE WEIBLE MD (OWNER)
(601) 288-8004
Entity
Organization
Contact information
Practice address
6120 U S HIGHWAY 49, HATTIESBURG, MS 39401-7300
(601) 288-8004
(601) 288-8012
Mailing address
6120 U S HIGHWAY 49, HATTIESBURG, MS 39401-7300
(601) 288-8004
(601) 288-8012
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
12913
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00119477
MEDICAID INDIVIDUAL
MS
01
—
0130116
UNITED HEALTHCARE INDIVIDUAL
MS
01
—
080154729
MEDICARE RR INDIVIDUAL
MS
01
—
500749239I
BLUE CROSS INDIVIDUAL
MS
01
—
5266238
AETNA INDIVIDUAL
MS
05
—
9015909
—
MS
Enumeration date
05/25/2007
Last updated
06/30/2008
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