Individual
DR. MICHAEL D WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, FACR
Contact information
Practice address
9 DOCTORS PARK, GREENVILLE, NC 27834-2801
(252) 752-5000
(252) 752-0166
Mailing address
9 DOCTORS PARK, GREENVILLE, NC 27834-2801
(252) 752-5000
(252) 752-0166
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00-18349
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86186
BLUE CROSS BLUE SHIELD NC
NC
05
—
8986186
—
NC
Enumeration date
05/31/2005
Last updated
07/08/2007
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