Individual
MRS. JOHNNIE LOIS WEASE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1189 IRON BRIDGE DR, #100, MOUNT PLEASANT, SC 29466-7401
(843) 856-1210
Mailing address
1179 ROYAL LINKS DR, MOUNT PLEASANT, SC 29466-6937
(843) 971-9566
(843) 971-9566
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
9942
SC
Other
Enumeration date
10/11/2005
Last updated
07/08/2007
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