Individual
JEROME JOHN WEEMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
15119
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0610131
CIGNA ID
SC
01
—
110244173
RR MEDICARE
SC
05
—
151196
—
SC
01
—
4350072
AETNA ID
SC
01
—
576007863110
BCBS OF SC ID
SC
01
—
576007863114
BLUECHOICE HEALTHPLAN ID
SC
Enumeration date
05/31/2006
Last updated
06/18/2021
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