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Individual

DR. ELIZABETH R WEATHERFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1404 E AVALON AVE, TUSCUMBIA, AL 35674-1773
(256) 381-4400
(256) 381-4783
Mailing address
PO BOX 298, FLORENCE, AL 35631-0298
(256) 767-7494
(256) 760-8432

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
00015778
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009939493
AL
05
009939494
AL
05
009939496
AL
05
009939497
AL
05
051509167
AL
01
515-31111
BCBS-401 COLLEGE FLO, AL
AL
01
515-38566
BCBS-CENTRE, AL
AL
01
51509167WEA
BCBS
AL
01
51515569
BCBS
AL
01
51536614
BCBS-WINFIELD, AL
AL
01
51536676
BCBS-ARDMORE, AL
AL
01
51536677
BCBS-ATHENS, AL
AL
01
51536678
BCBS-CALERA, AL
AL
01
51536928
BCBS-4831 SPARKMAN DR
AL
01
51537005
BCBS-RUSSELLVILLE 15225
AL
01
51537209
2030 CHESTNUT, MONTGOMERY
AL
01
631053058013
TRICARE
AL
Enumeration date
05/27/2006
Last updated
01/05/2011
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