Individual
PAUL MICHAEL WEATHERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
13845 CONLAN CIR, CHARLOTTE, NC 28277-2705
(704) 544-2092
Mailing address
7025 THERMAL RD, CHARLOTTE, NC 28211-6173
(704) 366-1636
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
100876
NC
Other
Enumeration date
02/06/2006
Last updated
07/08/2007
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