Mr. Liston Alexander Weatherly Jr., APRN
Mr. Liston Alexander Weatherly Jr., APRN is a Nurse Practitioner in Hartsville, South Carolina. Qualified in 2016, 10 years ago. Practices with Caresouth Carolina Inc, a 66-clinician group and accepts Medicare assignment. Licensed in South Carolina.
- Years since qualifying
- 10
- Licensed in
- SC
- In the registry since
- 2017
What do these letters mean?
- APRN — Advanced Practice Registered Nurse
- The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
Practice location Address checks out
1268 S 4th StHartsville, SC 29550-0703
Phone: (803) 484-5317
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 21363 (SC) |
|---|
Record details
| NPI number | 1912413832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | APRN |
| Sole proprietor | No |
| NPI enumerated | December 15, 2017 |
| Last updated in NPPES | September 22, 2021 |
| Certification date | September 22, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Caresouth Carolina Inc. — 66 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Hartsville
-
Carol J Ferrence, NP
528 E Carolina Ave, Hartsville, SC 29550-4312 · (843) 332-5111
-
Courtney Alexandra Hatchell
1404 S 4th St, Hartsville, SC 29550-7449 · (843) 307-7851
-
Jonathan Parrott
1705 14th St, Hartsville, SC 29550-7060 · (843) 639-9721
-
Mrs. Tona L Tedder, FNP
1268 S Fourth St Ste A Caresouth Carolina Inc, Hartsville, SC 29550-4311 · (843) 332-3422