Weatherdon, Derek Scott

Weatherdon, Derek Scott is an individual health care provider with primary practice located at 107 Airport Rd , Kinston NC 28501-1603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Weatherdon, Derek Scott can be contacted via phone (252) 527-4146.

Contact Information

Primary practice address
107 Airport Rd Kinston NC 28501-1603
Phone: (252) 527-4146
Fax: (252) 527-5697
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X North Carolina

Profile Details

NPI number 1992805626
LBN Legal business name Weatherdon, Derek Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992805626 NPPES
North Carolina Other 01-28669 UNITED HEALTHCARE
North Carolina MEDICAID 89127WE UNITED HEALTHCARE
North Carolina Other A2087 UNITED HEALTHCARE
North Carolina Other 7736338 UNITED HEALTHCARE
North Carolina Other 127WE UNITED HEALTHCARE

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