Individual
DR. JEREMY SAUL WEINBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2361 CYPRESS CIR, CONWAY, SC 29526-8921
(843) 347-7291
(843) 347-0139
Mailing address
300 SINGLETON RIDGE RD, ATTENTION PNS CREDENTIALING, CONWAY, SC 29526-9142
(843) 234-6946
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
91639
SC
208600000X
Surgery Physician
ME 88021
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
916398
—
SC
Enumeration date
04/12/2006
Last updated
03/26/2024
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