Pennington, Weems R
Pennington, Weems R is an individual health care provider with primary practice located at 820 St. Sebastian Way Suite 2A , Augusta GA 30901. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pennington, Weems R can be contacted via phone (803) 215-1502.Contact Information
Primary practice address
820 St. Sebastian Way Suite 2A
Augusta GA 30901
Phone: (803) 215-1502
Fax: (706) 722-1947
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 14977 | Georgia |
| Other Service Providers / Specialist | 174400000X | 18530 | South Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 14977 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14977 | Georgia |
Profile Details
| NPI number | 1366541187 |
|---|---|
| LBN Legal business name | Pennington, Weems R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Jun 26th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366541187 | NPPES |
| Georgia | MEDICAID | 00094179A | |
| Georgia | MEDICAID | 906988 |
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