Individual
MICHAEL WEYMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
115 BLARNEY DR STE 108, COLUMBIA, SC 29223-6291
(803) 699-1474
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 434-1488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
22739
SC
363LF0000X
Family Nurse Practitioner
Primary
22739
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP6062
—
SC
Enumeration date
06/26/2019
Last updated
06/30/2021
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