Gordon R. Weigle, Md Pa

LBN: Gordon R. Weigle, Md Pa
Gordon R. Weigle, Md Pa is an health care organization with primary practice located at 1717 Village Park Dr , Orangeburg SC 29118-2475. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as the primary health care specialty. Gordon R. Weigle, Md Pa can be contacted via phone (803) 533-0091, or through Weigle, Gordon Reese via phone (803) 533-0091.

Contact Information

Primary practice address
1717 Village Park Dr Orangeburg SC 29118-2475
Phone: (803) 533-0091
Fax: (803) 533-6084
Website:
Map and Directions
Authorized official contact:
Name: Weigle, Gordon Reese Doctor of Medicine (MD)
Phone: (803) 533-0091

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X SC8901 South Carolina

Profile Details

NPI number 1174795900
LBN Legal business name Gordon R. Weigle, Md Pa
DBA Doing business as
Authorized official Weigle, Gordon Reese Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Apr 2nd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174795900 NPPES
South Carolina MEDICAID GP3708

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