Weaver, Paul Douglas

Weaver, Paul Douglas is an individual health care provider with primary practice located at 1690 Skylyn Dr Suite 300, Spartanburg SC 29307-1022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Weaver, Paul Douglas can be contacted via phone (864) 582-1201.

Contact Information

Primary practice address
1690 Skylyn Dr Suite 300 Spartanburg SC 29307-1022
Phone: (864) 582-1201
Fax: (864) 596-7409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11887 South Carolina

Profile Details

NPI number 1689653578
LBN Legal business name Weaver, Paul Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Jan 14th, 2021 - about 5 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 1689653578 NPPES
South Carolina MEDICAID GP1628

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