Provider Demographics
NPI:1336147263
Name:WEEKS, ALBERT EARLE (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:EARLE
Last Name:WEEKS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1211 UNION AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-6655
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7655 POPLAR AVE STE 340
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:TN
Practice Address - Zip Code:38138-3999
Practice Address - Country:US
Practice Address - Phone:901-334-0301
Practice Address - Fax:901-334-0307
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD19652207RH0003X
ARE2370207RH0003X
MS15446207RH0003X
TN19652207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR115744001Medicaid
TN3044609Medicaid
MS00118861Medicaid
AR512219YK7ZMedicare PIN
MS512393YJ6CMedicare PIN
TN103I832213Medicare PIN