Individual
DR. CHRISTIE ALTICE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
CHATHAM FAMILY EYECARE CENTER, 13995 US HIGHWAY 29 SUITE 100, CHATHAM, VA 24531
(434) 432-9752
(434) 432-8580
Mailing address
13995 U.S. HIGHWAY 29, SUITE 100, CHATHAM, VA 24531
(434) 432-9752
(434) 432-8580
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618001011
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009237267
—
VA
01
—
462613
ANTHEM
VA
Enumeration date
07/21/2006
Last updated
07/08/2007
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