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Individual

DR. PAUL RICHARD WEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
9101 PINEVILLE MATTHEWS RD STE D, PINEVILLE, NC 28134-8826
(704) 323-3300
Mailing address
4601 PARK RD STE 300, CHARLOTTE, NC 28209-2290
(704) 323-2248

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
009080
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2021-01201
NC
208100000X
Physical Medicine & Rehabilitation Physician
87617
SC

Other

Enumeration date
05/22/2017
Last updated
04/15/2024
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