Individual
MRS. LAURIE BROCK WEATHERBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
631 JOHNNIE DODDS BLVD, MOUNT PLEASANT, SC 29464-3030
(843) 881-0815
(843) 881-0743
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21517
SC
Other
Enumeration date
08/24/2018
Last updated
11/11/2024
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