Weathers, Everette Arden
Weathers, Everette Arden is an individual health care provider with primary practice located at 1175 Cook Rd Suite 320, Orangeburg SC 29118-8201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Weathers, Everette Arden can be contacted via phone (803) 536-2555.Contact Information
Primary practice address
1175 Cook Rd Suite 320
Orangeburg SC 29118-8201
Phone: (803) 536-2555
Fax: (803) 536-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5244 | South Carolina |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5244 | South Carolina |
Profile Details
| NPI number | 1033195490 |
|---|---|
| LBN Legal business name | Weathers, Everette Arden |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | May 3rd, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033195490 | NPPES |
| South Carolina | Other | 576008010-012 | BCBS |
| South Carolina | Other | 32409 | BCBS |
| South Carolina | Other | 9204593 | BCBS |
| South Carolina | Other | 622230 | BCBS |
| South Carolina | MEDICAID | 052445 | BCBS |
| South Carolina | Other | 9645030 | BCBS |
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