Individual provider · Type 1 NPI

Tanner Douglas Weaver, DO

Student in an Organized Health Care Education/Training Program · Danville, VA

NPI number 1265125280 Active

Practice location

401 Bridge St Apt 409
Danville, VA 24541-1236

Call (352) 843-3107 Map

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 1995 Bethabara Rd, Winston Salem, NC 27106-3375 · (336) 759-7596

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000X2026-04155 (NC)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1265125280

Tanner Douglas Weaver, DO's National Provider Identifier is 1265125280, issued on May 26, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Danville, VA. The record was last updated on Sep 9, 2026.