Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEFFREY THOMAS WEEDEN, P.A.
ActivePhysician Assistant · MYRTLE BEACH, SC
Registration Details
- NPI Number
- 1972539286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 26, 2006 (19.833443950766 yrs)
- Last Updated
- Jan 13, 2022
- License
-
2063 (SC)
Practice Information
- Address
-
920 DOUG WHITE DR STE 510MYRTLE BEACH, SC, 295724183Browse SC providers · Browse ZIP 29572
- Phone
- 8434977772
- Fax
- 8438487530
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MYRTLE BEACH, SC
| Name | Credential | NPI |
|---|---|---|
| MRS. ASHLEY SMITH WILSON | P.A. | 1487655106 |
| RANDALL PAUL GROVE | PA | 1619969250 |
| MRS. ROBERTA RAE ALSWORTH | PA-C | 1790775385 |
| MRS. TRACY REYMORE BLACK | PA-C | 1033181193 |
| JOSEPH K BETHLE | PAC | 1235195850 |
| HISHAM IBRAHIM BASSIOUNI | PAC | 1205883105 |
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.