Individual
MR. DAVID EVERETT WEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1900 RANDOLPH RD, SUITE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Mailing address
1900 RANDOLPH RD, SUITE 900, CHARLOTTE, NC 28207-1122
(704) 377-2424
(704) 377-2687
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0010-02982
NC
363AM0700X
Medical Physician Assistant
04666
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1188PA
—
SC
05
—
1205976818
—
NC
05
—
186305473A
—
GA
Enumeration date
02/06/2007
Last updated
04/27/2017
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