Individual
PATRICIA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
999 CHERAW ST, BENNETTSVILLE, SC 29512-2420
(843) 479-2341
Mailing address
201 S 5TH ST, HARTSVILLE, SC 29550-4211
(843) 857-0111
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN1313
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0466
—
SC
01
—
P00906535
RAILROAD MEDICARE PTAN
SC
Enumeration date
08/20/2006
Last updated
09/05/2017
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