Terry Weaver Pllc

NPI 1255630133 - Family Medicine - 207Q00000X

NPI Details
NPI 1255630133
Enumeration Date 03/18/2011
Last Updated 03/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name TERRY TERRY
Position DOCTOR OWNER
Phone (479) 444-2200
Fax (479) 444-2279
Practice Location
153 E MONTE PAINTER DR
HEALTHSOUTH REHABILITATION HOSPITAL
FAYETTEVILLE AR, 72703, US
Phone (479) 444-2200
Fax (479) 444-2279
Business Location
2630 E CITIZENS DR
FAYETTEVILLE AR, 72703-4797, US
Phone (479) 527-9966
Fax (479) 527-9756
Toxanomy
Taxonomy Code 207Q00000X
License State Arkansas
License Number E3438
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According to our database, Terry Weaver Pllc NPI is 1255630133, taxonomy code is 207Q00000X and license number is E3438, license state is located at Arkansas. Terry Weaver Pllc physically located at 153 E Monte Painter Dr, Fayetteville AR, 72703. NPI Number 1033115704 has the healthcare provider type.

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1255630133 NPI number is provided on an as is basis without warranty of any kind. 1255630133 is maintained by the National Plan & Provider Enumeration System. The contents of Terry Weaver Pllc are for informational purposes only.