Individual
DR. PAUL DOUGLAS WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1690 SKYLYN DR, SUITE 300, SPARTANBURG, SC 29307-1022
(864) 582-1201
(864) 596-7409
Mailing address
1690 SKYLYN DR, SPARTANBURG, SC 29307-1052
(864) 582-1201
(864) 596-7409
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11887
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1628
—
SC
Enumeration date
01/10/2006
Last updated
01/14/2021
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