Provider Demographics
NPI:1396823498
Name:WEAVIL, PATRICIA DOCKERY (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:DOCKERY
Last Name:WEAVIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4805 SEWARD RD
Mailing Address - Street 2:
Mailing Address - City:PFAFFTOWN
Mailing Address - State:NC
Mailing Address - Zip Code:27040-9450
Mailing Address - Country:US
Mailing Address - Phone:336-722-7077
Mailing Address - Fax:
Practice Address - Street 1:4805 SEWARD RD
Practice Address - Street 2:
Practice Address - City:PFAFFTOWN
Practice Address - State:NC
Practice Address - Zip Code:27040-9450
Practice Address - Country:US
Practice Address - Phone:336-722-7077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC264782080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics