Weathers, William Travis

Weathers, William Travis is an sole proprietor health care provider with primary practice located at 1650 Skyn Drive Suite 240, Spartanburg SC 29307-1069. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Weathers, William Travis can be contacted via phone (864) 598-0460.

Contact Information

Primary practice address
1650 Skyn Drive Suite 240 Spartanburg SC 29307-1069
Fax: (864) 596-5164
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5116 South Carolina

Profile Details

NPI number 1801837968
LBN Legal business name Weathers, William Travis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 9th, 2006
Last updated Nov 24th, 2014 - about 12 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 1801837968 NPPES
South Carolina Other 576007863032 BCBS OF SC ID
South Carolina MEDICAID 051160 BCBS OF SC ID
South Carolina Other 6356292 BCBS OF SC ID

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