Gary S Weaver Dc | |
9570 Two Notch Rd, Ste 1, Columbia, SC 29223-4309 | |
(803) 736-2200 | |
(803) 736-2201 |
Full Name | Gary S Weaver Dc |
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Type | Facility |
Speciality | Chiropractor |
Location | 9570 Two Notch Rd, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649463159 | NPI | - | NPPES |
GCH120 | Medicaid | SC | |
DF 1270 | Other | SC | MEDICARE GROUP |
Provider Name | Gary Weaver |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1154482537 PECOS PAC ID: 4284899279 Enrollment ID: I20120711000314 |
Mailing Address | Practice Location Address |
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Gary S Weaver Dc 9570 Two Notch Rd, Ste 1, Columbia, SC 29223-4309 Ph: (803) 736-2200 | Gary S Weaver Dc 9570 Two Notch Rd, Ste 1, Columbia, SC 29223-4309 Ph: (803) 736-2200 |
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