| David J. Weber, P.C. | |
|
407 Stonewall St Memphis TN 38112-5115 | |
| (901) 278-6963 | |
| (901) 274-5224 |
| Full Name | David J. Weber, P.C. |
|---|---|
| Speciality | Family Medicine |
| Location | 407 Stonewall St, Memphis, Tennessee |
| Authorized Official Name and Position | Susan Weber (OFFICE MANAGER) |
| Authorized Official Contact | 9012786963 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Weber, P.C. 407 Stonewall St Memphis TN 38112-5115 Ph: (901) 278-6963 | David J. Weber, P.C. 407 Stonewall St Memphis TN 38112-5115 Ph: (901) 278-6963 |
| NPI Number | 1881754364 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Medicare PECOS PAC ID | 4486616695 |
|---|---|
| Medicare Enrollment ID | O20090730000267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881754364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21064 (Tennessee) | Primary |
| Provider Name | David J Weber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629143953 PECOS PAC ID: 6204725690 Enrollment ID: I20040317001544 |
| Provider Name | Jonathan English |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144463431 PECOS PAC ID: 2668651597 Enrollment ID: I20110125000624 |
| Provider Name | Tara a Abernathy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194066712 PECOS PAC ID: 0143444620 Enrollment ID: I20140624002220 |
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