Individual provider · Type 1 NPI

Tara Ann Weaver

Medical Physician Assistant · Columbia, SC

NPI number 1609736453 Active

Practice location

7329 Nursery Rd
Columbia, SC 29212-1009

Call (803) 731-9600 Map

Fax (803) 731-0297

Mailing address

117 White Birch Ct
Lexington, SC 29073-6905

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X6140 (SC)

Medical Physician Assistant: Definition to come...

3 other providers at this address

Other medical physician assistant providers in Columbia

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About NPI 1609736453

Tara Ann Weaver's National Provider Identifier is 1609736453, issued on Nov 14, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Columbia, SC. The record was last updated on Oct 1, 2026.