Weaver, Mary Elizabeth

Weaver, Mary Elizabeth is an individual health care provider with primary practice located at 1052 Ross Clark Circle , Dothan AL 36303. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Weaver, Mary Elizabeth can be contacted via phone (334) 699-3600.

Contact Information

Primary practice address
1052 Ross Clark Circle Dothan AL 36303
Phone: (334) 699-3600
Fax: (334) 699-3601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 10454 Alabama

Profile Details

NPI number 1588639264
LBN Legal business name Weaver, Mary Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Apr 19th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588639264 NPPES
Louisiana MEDICAID 1757306
Louisiana MEDICAID 051515759
Louisiana MEDICAID 05781000
Louisiana Other 51515759
Louisiana MEDICAID 000303619D
Louisiana MEDICAID 042556700
Louisiana Other P00055590

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