Weaver Clinic, LLC

NPI #1366841066 in Hernando, Mississippi

Provider Information

NPI Number
1366841066
Entity Type
Organization
Organization Name
Weaver Clinic, LLC
Primary Specialty
Clinic/Center
Enumeration Date
Aug 19, 2014
Last Updated
Dec 1, 2014

Practice Location

Address
124 W COMMERCE ST
ZIP Code
38632-2240
Phone
(901) 262-0185

Authorized Official

Name
BEVERLY POUNDERS WEAVER, FNP
Title
MEDICAL SUPERVISOR
Phone
(901) 262-0185

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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