Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0210X | Pediatric Nephrologist | 2008-00503 | NC |
NPI | 1386851491 |
---|---|
Provider Name | Donald Weaver JR. |
First Address | Charlotte, NC 28219-9305 |
Second Address | Charlotte, NC 28207-2134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2007 |
Last Update Date | 20/01/2021 |