DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEITH ANDREW WEAVER, DO

Active Sole Proprietor

DR. KEITH ANDREW WEAVER, DO is a General Practice healthcare provider located in HIXSON, Tennessee. NPI 1265652317 is currently active in the NPPES registry. Verify at CMS.

General Practice · HIXSON, TN

Registration Details

NPI Number
1265652317
Provider Type
Individual
Gender
Male
NPI Issued
Apr 30, 2007 (19.26937734164 yrs)
Last Updated
Feb 7, 2017
Licenses
0102201853 (VA)
2076 (TN)
2076 (TN)
Sole Proprietor
Yes

Practice Information

Address
1013 EXECUTIVE DR
SUITE 101
HIXSON, TN, 373437912
Browse TN providers · Browse ZIP 37343
Phone
4238752538
Fax
4238752539
Primary Specialty
General Practice
208D00000X
Additional Specialty
General Practice
Additional Specialty
Internal Medicine

Other General Practice Providers in HIXSON, TN

Name Credential NPI
KAREN AVERY MD 1447293428
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.