Individual
PHILIP AARON WEATHERFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3 SHERIDAN SQ, KINGSPORT, TN 37660-7390
(423) 392-6840
Mailing address
3 SHERIDAN SQ, KINGSPORT, TN 37660-7390
(423) 392-6840
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1129757
TN
Other
Enumeration date
03/09/2017
Last updated
07/21/2022
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