Whitehead, Alva Weaver
Whitehead, Alva Weaver is an individual health care provider with primary practice located at 204 E Cheves St , Florence SC 29506-2604. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Whitehead, Alva Weaver can be contacted via phone (843) 777-7603.Contact Information
Primary practice address
204 E Cheves St
Florence SC 29506-2604
Phone: (843) 777-7603
Fax: (843) 662-2474
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 21244 | South Carolina |
Profile Details
| NPI number | 1669444378 |
|---|---|
| LBN Legal business name | Whitehead, Alva Weaver |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2006 |
| Last updated | Mar 25th, 2009 - about 16 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 | 1669444378 | NPPES |
| South Carolina | MEDICAID | 212442 | |
| South Carolina | Other | 202935692 |
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