Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204F00000X | Transplant Surgeon | MD.28617 | AL |
N | 204F00000X | Transplant Surgeon | MD041489 | DC |
NPI | 1134333859 |
---|---|
Provider Name | Phillip Weems |
First Address | Tuscaloosa, AL 35406-3281 |
Second Address | Tuscaloosa, AL 35401-2086 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 08/10/2015 |