| NPI | 1801904156 |
|---|---|
| Doing Business As | WEAVER FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RANDY ROBINSON Administrator 228-865-1453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 14403) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2008-02-01 |