Individual
TONYA CAULEY WEIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1601 CENTER ST, STE 1N, MOBILE, AL 36604-1512
(251) 410-5437
(251) 434-3802
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 410-5437
(251) 434-3802
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-445
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009936449
—
AL
05
—
09935828
—
MS
05
—
292367000
—
FL
01
—
51533013
BCBS
AL
Enumeration date
05/17/2006
Last updated
03/28/2017
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