Individual
DR. DAVID WEITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1016 2ND AVE N STE 203, NORTH MYRTLE BEACH, SC 29582-3288
(843) 222-5395
(866) 340-0296
Mailing address
4701 S OCEAN BLVD APT 5F, NORTH MYRTLE BEACH, SC 29582-5367
(843) 222-5395
(866) 340-0296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01071702-A
IN
207P00000X
Emergency Medicine Physician
39135
SC
207P00000X
Emergency Medicine Physician
53530
WI
207P00000X
Emergency Medicine Physician
71752
GA
207Q00000X
Family Medicine Physician
01071702
IN
207Q00000X
Family Medicine Physician
39135
SC
207Q00000X
Family Medicine Physician
53530
WI
207Q00000X
Family Medicine Physician
Primary
71752
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
01071702
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
39135
SC
207QA0401X
Addiction Medicine (Family Medicine) Physician
53530
WI
207QA0401X
Addiction Medicine (Family Medicine) Physician
71752
GA
2086S0129X
Vascular Surgery Physician
39135
SC
2086S0129X
Vascular Surgery Physician
71752
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01071702A
IN MED LICENSE
IN
01
—
071752
GA MED LIC
GA
01
—
39135
SC LICENSE
SC
01
—
53530-20
STATE OF WISCONSIN
WI
Enumeration date
09/01/2009
Last updated
03/20/2024
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