Individual
RILEY WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 LONGWOOD DR, SHELBYVILLE, TN 37160-5334
(931) 205-8023
Mailing address
145 LONGWOOD DR, SHELBYVILLE, TN 37160-5334
(931) 205-8023
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/07/2021
Last updated
09/07/2021
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