Healthcare Provider Details

I. General information

NPI: 1225667207
Provider Name (Legal Business Name): CHRISTOPHER GREGORY WEEKS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2020
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 DAUPHIN ST
MOBILE AL
36608-1756
US

IV. Provider business mailing address

207 PARK DR
FAIRHOPE AL
36532-2742
US

V. Phone/Fax

Practice location:
  • Phone: 251-341-3368
  • Fax: 251-341-3371
Mailing address:
  • Phone: 251-295-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number50811
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: