Individual
DAVID ALLEN WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1411 PHYSICIANS DRIVE, WILMINGTON, NC 28401-7338
(910) 343-0811
(910) 343-5719
Mailing address
1411 PHYSICIANS DRIVE, WILMINGTON, NC 28401-7338
(910) 343-0811
(910) 343-5719
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
97-00417
NC
2086S0129X
Vascular Surgery Physician
97-00417
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02003617
RAILROAD MEDICARE INDV #
NC
01
—
1030N
BCBS OF NC INDIVIDUAL #
NC
01
—
1205252
INDV. UNITED HEALTHCARE #
NC
05
—
89-1030N
—
NC
05
—
891030N
—
NC
Enumeration date
10/02/2006
Last updated
03/10/2026
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