Weathers, John Rouse

Weathers, John Rouse is an individual health care provider with primary practice located at 105 Stadium Oaks Dr , Clemmons NC 27012-8962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Weathers, John Rouse can be contacted via phone (336) 766-0547.

Contact Information

Primary practice address
105 Stadium Oaks Dr Clemmons NC 27012-8962
Phone: (336) 766-0547
Fax: (336) 766-0549
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2012-00190 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-00190 North Carolina

Profile Details

NPI number 1215198155
LBN Legal business name Weathers, John Rouse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2008
Last updated Oct 28th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215198155 NPPES
North Carolina MEDICAID 5920486

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