ISAAC MATTHEW SHEPARD WEAVER

JOHNSON CITY, TN
NPI1982215430
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WM0705X Registered Nurse, Medical-Surgical
(Licence: TN  202308)
Enumeration Date2020-08-10
Last Update Date2020-08-10
Business Address
ISAAC MATTHEW SHEPARD WEAVER RN
809 LAMONT ST
JOHNSON CITY, TN 37604-5453
Phone number: 423-926-1171
Mailing Address
ISAAC MATTHEW SHEPARD WEAVER RN
224 PARSLEY ST
UNICOI, TN 37692-4110
Phone number: 423-534-5328
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