Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 34694 | SC |
N | 207P00000X | Emergency Physician | 55996 | GA |
NPI | 1235174012 |
---|---|
Provider Name | Dr. William J Weirs |
First Address | North Charleston, SC 29420-4247 |
Second Address | North Charleston, SC 29420-4247 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2006 |
Last Update Date | 12/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
057443724D | (05) | GA |
057443724E | (05) | GA |
122225872B | (05) | GA |
4047309 | (05) | TN |
4131299 | BCBS OF TENNESSEE (01) | TN |
I40295 | (02) | GA |
P00342753 | RAILROAD MEDICARE (01) | GA |