Individual
JEROME JOHN WEEMS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 W FARIS RD STE 520, GREENVILLE, SC 29605-4291
(864) 455-9033
(864) 455-6559
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
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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