Organization
WEAVER MEDICAL GROUP
Active
Other names
Weaver Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY KENT WEAVER JR. (OWNER/CEO)
(865) 777-6888
Entity
Organization
Contact information
Practice address
6709 KINGSTON PIKE, KNOXVILLE, TN 37919-4830
(865) 777-6888
(888) 606-4866
Mailing address
6709 KINGSTON PIKE, KNOXVILLE, TN 37919-4830
(865) 777-6888
(888) 606-4866
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
0000001044
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523744
—
TN
Enumeration date
01/08/2016
Last updated
01/08/2016
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