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Organization
GORDON R. WEIGLE, MD PA
Active
Organization
GORDON R. WEIGLE, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON REESE WEIGLE II M.D. (OWNER)
(803) 533-0091
Entity
Organization
Contact information
Practice address
1717 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 533-0091
(803) 533-6084
Mailing address
1717 VILLAGE PARK DR, ORANGEBURG, SC 29118-2475
(803) 533-0091
(803) 533-6084
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
SC8901
SC
Other
Enumeration date
04/01/2008
Last updated
04/02/2008
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