Samuel H Weatherford, PA-C
Samuel H Weatherford, PA-C is a Physician Assistant in Wallace, North Carolina. Qualified in 2000, 26 years ago. Practices with Wallace Urgent Care LLC, an 8-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.
- Years since qualifying
- 26
- Licensed in
- NC, SC
- In the registry since
- 2007
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
112 Medical Village Dr Ste FWallace, NC 28466-1665
Phone: (910) 285-0940
Fax: (910) 285-1825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 0010-05179 (NC) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 0010-05179 (NC) |
| Surgical Physician Assistant | Taxonomy 363AS0400X · Licence 656 (SC) |
Record details
| NPI number | 1508075896 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | May 22, 2007 |
| Last updated in NPPES | July 26, 2024 |
| Certification date | July 26, 2024 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2000 (26 years in practice) |
| Group practice | Wallace Urgent Care Llc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Wallace
-
Kern Lee Barrow, PA
112 Medical Village Dr Ste G, Wallace, NC 28466-1665 · (910) 285-0333
-
Lori Hartley, PA
120 Medical Village Dr, Wallace, NC 28466-1660 · (910) 285-2330
-
Ketoyia Newkirk, PA-C
110 Eastwood Dr, Wallace, NC 28466-9201 · (910) 285-2330
-
Carrie Kyper Royer, PA-C
125 River Vine Pkwy, Wallace, NC 28466-2377 · (910) 285-2134