Individual
WHITLEY WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
288 ANDERSON BRIDGE RD, SCRANTON, SC 29591-5002
(843) 373-0554
Mailing address
288 ANDERSON BRIDGE RD, SCRANTON, SC 29591-5002
(843) 373-0554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22724
SC
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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