Individual
LAWRENCE TYE WESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
712 GROVE ROAD, GREENVILLE, SC 29605-4211
(864) 522-1400
(864) 522-1429
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
22651
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00900031
RR MEDICARE
SC
05
—
T66318
—
SC
Enumeration date
09/25/2006
Last updated
07/17/2013
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