SAMUEL WEATHERFORD, PA-C

Physician Assistant - Medical

Active Individual
NPI: 1508075896

Practice Address

112 MEDICAL VILLAGE DR STE F
Wallace, NC 28466

Phone: (910) 285-0940

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X No 0010-05179 (NC)
Physician Assistant - Surgical 363AS0400X No 656 (SC)
Physician Assistant - Medical 363AM0700X Yes 0010-05179 (NC)

Frequently Asked Questions

NPI 1508075896 is the National Provider Identifier for SAMUEL WEATHERFORD, PA-C, a Physician Assistant - Medical provider located in Wallace, NC. This NPI was enumerated on May 22, 2007.
SAMUEL WEATHERFORD, PA-C practices at 112 MEDICAL VILLAGE DR STE F, Wallace, NC 28466.

Quick Facts

NPI
1508075896
Type
Individual
Enumerated
May 22, 2007
Last Updated
Jul 26, 2024

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