Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVEN GLENN WEAVER, MD
ActiveSTEVEN GLENN WEAVER, MD is a 2083A0300X healthcare provider located in JACKSON, Tennessee. NPI 1295704393 is currently active in the NPPES registry. Verify at CMS.
2083A0300X · JACKSON, TN
Registration Details
- NPI Number
- 1295704393
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 14, 2006 (20.429620114613 yrs)
- Last Updated
- Jan 31, 2023
- Licenses
-
MD28076 (TN)MD28076 (TN)MD28076 (TN)
Practice Information
- Address
-
23 WEATHERFORD SQJACKSON, TN, 383052202Browse TN providers · Browse ZIP 38305
- Phone
- 7312173799
- Fax
- 7314220432
- Primary Specialty
-
2083A0300X
2083A0300X
- Additional Specialty
- Addiction Medicine (Internal Medicine)
- Additional Specialty
- 2083A0300X
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.