Provider Demographics
NPI:1780350280
Name:ANDERSON-WEEKS, CARRIE (DC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:ANDERSON-WEEKS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:WEEKS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DC
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:AVON PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33826-0901
Mailing Address - Country:US
Mailing Address - Phone:863-638-4000
Mailing Address - Fax:
Practice Address - Street 1:770 N SCENIC HWY STE 7
Practice Address - Street 2:
Practice Address - City:BABSON PARK
Practice Address - State:FL
Practice Address - Zip Code:33827-8719
Practice Address - Country:US
Practice Address - Phone:863-638-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2022-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH13669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor