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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. LISTON ALEXANDER WEATHERLY JR., APRN

Active

MR. LISTON ALEXANDER WEATHERLY JR., APRN is a Nurse Practitioner healthcare provider located in HARTSVILLE, South Carolina. NPI 1912413832 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · HARTSVILLE, SC

Registration Details

NPI Number
1912413832
Provider Type
Individual
Gender
Male
NPI Issued
Dec 15, 2017 (8.6899334817121 yrs)
Last Updated
Sep 22, 2021
License
21363 (SC)

Practice Information

Address
1268 S 4TH ST
HARTSVILLE, SC, 295500703
Browse SC providers · Browse ZIP 29550
Phone
8034845317
Primary Specialty
Nurse Practitioner
363L00000X

Other Nurse Practitioner Providers in HARTSVILLE, SC

Name Credential NPI
MRS. TONA L TEDDER FNP 1346235421
CAROL J FERRENCE NP 1427064971
MELISSA YVETTE TURNER FNP-C 1467819748
COURTNEY ALEXANDRA HATCHELL 1083439350
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.