| Weaver Family Practice | |
|
1612 31st Ave Gulfport MS 39501-2750 | |
| (228) 865-1453 | |
| (228) 865-1451 |
| Full Name | Weaver Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 1612 31st Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | Randy Robinson (ADMINISTRATOR) |
| Authorized Official Contact | 2288651453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weaver Family Practice 1612 31st Ave Gulfport MS 39501-2750 Ph: (228) 865-1453 | Weaver Family Practice 1612 31st Ave Gulfport MS 39501-2750 Ph: (228) 865-1453 |
| NPI Number | 1801904156 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 02/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801904156 | NPI | - | NPPES |
| CM1261 | Other | MS | RAILROAD MEDICARE |
| 9014378 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 14403 (Mississippi) | Primary |
Centerwell Senior Primary Care-gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12057 Highway 49 Ste C, Gulfport, MS 39503 Phone: 228-832-9385 Fax: 877-504-6444 |
Open Arms - Gulfport Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1221 Bridge St, Gulfport, MS 39507 Phone: 769-216-2455 |
The Healing Hub Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1520 29th Ave Ste 26, Gulfport, MS 39501 Phone: 228-380-0662 |
Children's International, LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15465 Oak Ln, Gulfport, MS 39503 Phone: 228-831-8800 Fax: 228-831-8020 |
Coastal Family Health Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15024 Martin Luther King Jr Blvd, Gulfport, MS 39501 Phone: 228-864-0003 Fax: 228-374-0856 |
Lifestylze Wellness Weight Loss and Aesthetics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2700 14th Ave Ste A, Gulfport, MS 39501 Phone: 228-300-3634 |