Individual
MICHAEL THOMAS WEINGARTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
895 TIGER BLVD, CLEMSON, SC 29631-1480
(864) 512-7257
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-7257
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
83652
SC
Other
Enumeration date
04/13/2021
Last updated
03/13/2025
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