| Dalton Glenn Weaver, | |
|
708 N Highland Ave, Jackson, TN 38301-4829 | |
| (731) 394-0071 | |
| Not Available |
| Full Name | Dalton Glenn Weaver |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 708 N Highland Ave, Jackson, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104320308 | NPI | - | NPPES |
| 028076 | Other | TN | STATE VOLUNTEER MUTUAL INSURANCE COMPANY (SVMIC) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dalton Glenn Weaver, 109 E Lafayette St, Jackson, TN 38301-6203 Ph: (731) 300-4232 | Dalton Glenn Weaver, 708 N Highland Ave, Jackson, TN 38301-4829 Ph: (731) 394-0071 |
Adam Boyd Vaughn, Physician Assistant Medicare: Medicare Enrolled Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Morgan Janae Mason, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 620 Skyline Dr, Jackson, TN 38301 Phone: 731-541-5000 | |
Mrs. Stephanie R Little, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2863 Highwy 45 Byp, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0410 | |
Erick Stafford, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 30 Sandstone Cir, Jackson, TN 38305 Phone: 731-240-1695 Fax: 731-240-1694 | |
Lauren Schultz, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 150 Murray Guard Dr, Jackson, TN 38305 Phone: 731-201-2798 | |
Akacyea Nycole Deck, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297 |