Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SAMUEL H WEATHERFORD, PA-C
ActiveSAMUEL H WEATHERFORD, PA-C is a Medical Physician Assistant healthcare provider located in WALLACE, North Carolina. NPI 1508075896 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WALLACE, NC
Registration Details
- NPI Number
- 1508075896
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 22, 2007 (19.046009793249 yrs)
- Last Updated
- Jul 26, 2024
- Licenses
-
0010-05179 (NC)656 (SC)0010-05179 (NC)
Practice Information
- Address
-
112 MEDICAL VILLAGE DR STE FWALLACE, NC, 284661665Browse NC providers · Browse ZIP 28466
- Phone
- 9102850940
- Fax
- 9102851825
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.