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NPI Code Detail

MEDICARE: LIZA M WEAVIND M.D.

MEDICARE:   LIZA M WEAVIND  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianK4292TX
2207LC0200XCritical Care Medicine (Anesthesiology) PhysicianMD0000041736TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
28P0828OTHERTXBCBS

General Provider Information

NPI Number : 1326081290
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIZA M WEAVIND M.D.
Provider Business Mailing Address
First Line : 3841 GREEN HILLS VILLAGE DR STE 200
Second Line :
City : NASHVILLE
State : TN
Zip : 37215-2691
Country : US
Telephone Number : 615-322-3000
Fax Number :
Provider Business Practice Location Address
First Line : 1211 21ST AVE S
Second Line : MEDICAL ARTS BUILDING #526
City : NASHVILLE
State : TN
Zip : 37212-2717
Country : US
Telephone Number : 615-343-6268
Fax Number : 615-343-6272
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2006
Last Update Date : 03/15/2022

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