Mark T. Weaver, M.D., P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052851 Issued in GA

Legal business name

MARK T. WEAVER, M.D., P.C.

Practice address

125 W Gibson St
Hartwell, GA 30643-1848

Phone

(706) 856-6939

Fax

(706) 836-6199

NPI assigned

Sep 6, 2006

Organization subpart

No

Name

Mark T. Weaver, M.D.NPI 1508968926

Title

Owner/Physician

Phone

(706) 856-6939

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mark Thomas Weaver, M.D.

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1508968926

  Internal Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 20, 2007.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195516800000",
    "number": "1124121298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431848",
            "telephone_number": "706-856-6939",
            "fax_number": "706-836-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W GIBSON ST",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306431848",
            "telephone_number": "706-856-6939",
            "fax_number": "706-836-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK T. WEAVER, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2007-11-20",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "706-856-6939",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Hartwell, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.