Individual
MR. WILLIAM ALBERT WEATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
314 LAUREL AVE, GROVER, NC 28073
(704) 937-0072
(704) 937-0074
Mailing address
PO BOX 106, GROVER, NC 28073
(704) 937-0072
(704) 937-0074
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3403
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8998989
—
NC
01
—
98989
BCBS
—
Enumeration date
08/08/2006
Last updated
01/09/2008
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