Individual
KAYLENE D WEIRCOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3019 FARROW RD, COLUMBIA, SC 29203-7001
(803) 779-3222
(803) 779-3223
Mailing address
PO BOX 62, COLUMBIA, SC 29202-0062
(803) 779-3222
(803) 779-3223
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
26856
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268560
—
SC
Enumeration date
02/22/2006
Last updated
04/29/2015
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