| Weaver Medical | |
|
231 S Fairmont Ave Morristown TN 37813-2036 | |
| (423) 839-1600 | |
| (423) 839-1602 |
| Full Name | Weaver Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 231 S Fairmont Ave, Morristown, Tennessee |
| Authorized Official Name and Position | Krystal E. Weaver (OWNER) |
| Authorized Official Contact | 8657486208 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weaver Medical Po Box 63 Morristown TN 37815-0063 Ph: (865) 748-6208 | Weaver Medical 231 S Fairmont Ave Morristown TN 37813-2036 Ph: (423) 839-1600 |
| NPI Number | 1588383350 |
|---|---|
| Provider Enumeration Date | 08/25/2022 |
| Last Update Date | 02/13/2024 |
| Medicare PECOS PAC ID | 0143666115 |
|---|---|
| Medicare Enrollment ID | O20240313000281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588383350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Raven J Mccarroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235862483 PECOS PAC ID: 5597139071 Enrollment ID: I20240319000600 |
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