Individual provider · Type 1 NPI
Samuel H. Weatherford, PA-C
Medical Physician Assistant · Wallace, NC
NPI number
1508075896
Active
Practice location
112 Medical Village Dr Ste F
Wallace, NC 28466-1665
Fax (910) 285-1825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0010-05179 (NC) |
| Surgical Physician Assistant | 363AS0400X | 656 (SC) |
| Medical Physician Assistant Primary | 363AM0700X | 0010-05179 (NC) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1508075896
Samuel H. Weatherford, PA-C's National Provider Identifier is 1508075896, issued on May 22, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Wallace, NC. The record was last updated on Jul 26, 2024.