Weeden, Jeffrey Thomas

Weeden, Jeffrey Thomas is an individual health care provider with primary practice located at 920 Doug White Dr Ste 510 , Myrtle Beach SC 29572-4183. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Weeden, Jeffrey Thomas can be contacted via phone (843) 497-7772.

Contact Information

Primary practice address
920 Doug White Dr Ste 510 Myrtle Beach SC 29572-4183
Phone: (843) 497-7772
Fax: (843) 848-7530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2063 South Carolina

Profile Details

NPI number 1972539286
LBN Legal business name Weeden, Jeffrey Thomas
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Jan 13th, 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 1972539286 NPPES
South Carolina MEDICAID 1873PA

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