Individual
JOSEPH GIFFORD WEAVER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
208 W CENTER ST, SUITE D, LEXINGTON, NC 27292-3045
(336) 243-2973
(336) 243-2973
Mailing address
208 W CENTER ST, SUITE D, LEXINGTON, NC 27292-3045
(336) 243-2973
(336) 243-2973
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
256
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0818B
BCBS ID
NC
01
—
2207761
CIGNA HEALTHCARE ID #
—
01
—
2709191
EVERCARE ID
—
05
—
890818B
—
NC
Enumeration date
05/28/2006
Last updated
07/08/2007
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