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Weaver Clinic, Llc
Clinic/Center in Hernando, Mississippi
NPI 1366841066

Weaver Clinic, Llc is a Clinic/Center based in Hernando, MS. Weaver Clinic, Llc practices in Hernando, MS. The NPI Number for Weaver Clinic, Llc is 1366841066 and holds a License No. R629189 (Mississippi).

The current practice location address for Weaver Clinic, Llc is 124 W Commerce St, Hernando, MS and can be reached out via phone at 901-262-0185.

Location: 124 W Commerce St, Hernando, MS, 38632-2240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366841066
Provider Name
Weaver Clinic, Llc
Credential
Provider Entity Type
Organization
Address
124 W Commerce St, Hernando, MS, 38632-2240
Phone Number
901-262-0185
Fax Number
Provider Enumeration Date
08/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00122952 05 MS
institution
Provider Business Practice Location Address Details
Address
124 W Commerce St
City
Hernando
State
Mississippi
Zip
38632-2240
Phone Number
901-262-0185
Fax Number
person
Provider Business Mailing Address Details
Address
124 W Commerce St
City
Hernando
State
Mississippi
Zip
38632-2240
Phone Number
901-262-0185
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
R629189 (Mississippi)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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