Individual
PAUL M WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
107 WALNUT LN STE 102, NORTH AUGUSTA, SC 29860
(803) 202-7110
(803) 202-7111
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13673
SC
208D00000X
General Practice Physician
Primary
MD13673
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136739
—
SC
Enumeration date
04/12/2006
Last updated
11/28/2018
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