Individual
LARRY WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10030 GILEAD RD, HUNTERSVILLE, NC 28078-7545
(704) 316-3789
(704) 316-6785
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3789
(704) 316-6785
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
9300367
NC
208M00000X
Hospitalist Physician
Primary
9300367
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900246
—
NC
05
—
Q00367
—
SC
Enumeration date
07/30/2006
Last updated
08/17/2021
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