Weathersby, Benjamin Blake

Weathersby, Benjamin Blake is an individual health care provider with primary practice located at 3815 Faber Place Dr , North Charleston SC 29405-8533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Weathersby, Benjamin Blake can be contacted via phone (843) 767-9312.

Contact Information

Primary practice address
3815 Faber Place Dr North Charleston SC 29405-8533
Phone: (843) 767-9312
Fax: (843) 767-9313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 23772 South Carolina

Profile Details

NPI number 1730182932
LBN Legal business name Weathersby, Benjamin Blake
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated May 2nd, 2022 - about 3 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 1730182932 NPPES
South Carolina MEDICAID T79714

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