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Contact Information

SUZANN H WEATHERS, MD
87 SPRINGVIEW LN
SUMMERVILLE, SC29485-9077
 Phone: 843-876-7979
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SUZANN H WEATHERS · (Female)

NPI # 1013087493
Status Active
Credentials MD
Entity Individual
Enumeration date 11/09/2006
Last updated 08/07/2019 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 28868
  • SC Medicaid 288682
  • SC Other GP1551 MEDICAID GROUP#
  • SC Other 5277 MEDICARE GROUP #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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