Dalton Glenn Weaver

Physician Assistant · Jackson, TN

Individual Active NPI

NPI number 1104320308

Practice location

708 N Highland Ave
Jackson, TN 38301-4829
Phone
(731) 394-0071

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NPI record

NPI
1104320308
Entity type
Individual (Type 1)
Enumeration date
March 21, 2018
Last updated
August 7, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X — TN

Mailing address

109 E Lafayette St
Jackson, TN 38301-6203
Phone
(731) 300-4232

About Dalton Weaver

Dalton Glenn Weaver is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 708 N Highland Ave, Jackson, TN 38301-4829. The NPI number 1104320308 was assigned on March 21, 2018 and the record was last updated on August 7, 2019.

Frequently asked questions

What is the NPI number of Dalton Glenn Weaver?

The NPI number is 1104320308.

What is the phone number of Dalton Weaver?

The phone number listed for the practice location is (731) 394-0071.

Where is Dalton Weaver located?

708 N Highland Ave, Jackson, TN 38301-4829.

What is the taxonomy code for Dalton Weaver?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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