Dr Matthew G Weeks, MD | |
3655 Mitchell St, Loris, SC 29569-2827 | |
(843) 390-8159 | |
Not Available |
Full Name | Dr Matthew G Weeks |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 3655 Mitchell St, Loris, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336102904 | NPI | - | NPPES |
MD85346 | Other | SC | STATE LICENSE |
187312 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 187312 (New York) | Secondary |
208000000X | Pediatrics | 85346 (South Carolina) | Primary |
Entity Name | Physicians Of University Hospital Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
Entity Name | North Shore - Lij Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew G Weeks, MD 4000 Highway 9 E, Little River, SC 29566-7833 Ph: (843) 390-8159 | Dr Matthew G Weeks, MD 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 390-8159 |
Mr. Donald Niles Ludlow Jr., MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3109 Casey Street, Loris, SC 29569 Phone: 843-716-2229 Fax: 843-716-2483 | |
Heather Richardson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-663-8013 Fax: 843-663-8166 |