Weaver, Tommy L
Weaver, Tommy L is an individual health care provider with primary practice located at 3623 Latrobe Dr Ste 216 , Charlotte NC 28211-2117. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Pediatric Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Weaver, Tommy L can be contacted via phone (704) 332-1291.Contact Information
Primary practice address
3623 Latrobe Dr Ste 216
Charlotte NC 28211-2117
Phone: (704) 332-1291
Fax: (704) 926-1832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Ultrasound | 2085U0001X | ME11044 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 9300769 | North Carolina |
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | ME11044 | South Carolina |
| Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | ME11044 | South Carolina |
| Allopathic & Osteopathic Physicians / Pediatric Radiology | 2085P0229X | ME11044 | South Carolina |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME11044 | South Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME11044 | South Carolina |
Profile Details
| NPI number | 1073528386 |
|---|---|
| LBN Legal business name | Weaver, Tommy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2006 |
| Last updated | Sep 12th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073528386 | NPPES |
| South Carolina | MEDICAID | 110445 | |
| South Carolina | MEDICAID | 89063U2 | |
| South Carolina | Other | 2001 |
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