Individual
ABRAHAM JAMES WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN NP-C
Contact information
Practice address
155 RIDGE MEDICAL PLAZA RD, EDGEFIELD, SC 29824-4531
(803) 637-3146
(803) 637-6597
Mailing address
155 RIDGE MEDICAL PLAZA RD STE A, EDGEFIELD, SC 29824-4531
(803) 637-3146
(803) 637-6597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19746
SC
363LF0000X
Family Nurse Practitioner
RN195004
GA
Other
Enumeration date
09/10/2013
Last updated
09/11/2018
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