Search › North Carolina › 363AM0700X
Samuel Weatherford, PA-C
NPI 1508075896 · on the registry since 2007
Practice
- Address
- 112 Medical Village Dr Ste F
Wallace, NC 28466 - Phone
- (910) 285-0940
- Fax
- (910) 285-1825
- Organisation at this address
- Wallace Urgent Care Llc
Kidzcare Pediatrics, Pc
Urgent Care Of Wallace, Pllc
Trinity Family Medicine, P.A.
Po Powell Management Group, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
363AS0400X - Licence states on file
- NC, SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina