Gordon Reese Weigle II M.D.

NPI 1093768616 - Family Medicine - 207Q00000X

NPI Details
NPI 1093768616
Gender Male
Enumeration Date 05/17/2006
Last Updated 08/04/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1717 VILLAGE PARK DR
ORANGEBURG SC, 29118-2475, US
Phone (803) 533-0091
Fax (803) 533-6084
Business Location
1767 VILLAGE PARK DR
ORANGEBURG SC, 29118-2475, US
Phone (803) 533-1335
Fax (803) 533-6084
Toxanomy
Taxonomy Code 207Q00000X
License State South Carolina
License Number SC8901
Remove 1093768616 NPI Number
 

According to our database, Dr. Gordon Reese Weigle II M.D. NPI is 1093768616, taxonomy code is 207Q00000X and license number is SC8901, license state is located at South Carolina. Gordon Reese Weigle II M.D. physically located at 1717 Village Park Dr, Orangeburg SC, 29118-2475. NPI Number Gordon Reese Weigle II M.D. has the Individual type.

Sponsored links

1093768616 NPI number is provided on an as is basis without warranty of any kind. 1093768616 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Reese Weigle II M.D. are for informational purposes only.