Individual
DR. BRIAN ALEXANDER WEATHERBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
727 SE MAIN ST STE 220, SIMPSONVILLE, SC 29681-3262
(864) 454-7422
(864) 454-6605
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
39782
TN
207X00000X
Orthopaedic Surgery Physician
M9734
TX
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
Primary
29484
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
294844
—
SC
Enumeration date
03/30/2007
Last updated
06/18/2021
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