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1013912104
COREY WEIDMAN
LOW MOOR, VA
NPI
1013912104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840643)
Enumeration Date
2005-06-16
Last Update Date
2022-07-21
Business Address
COREY WEIDMAN PA-C
JACKSON RIVER ORTHOPEDICS 1 ARH LANE, STE 102
LOW MOOR, VA 24457
Phone number: 540-862-6777
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Mailing Address
COREY WEIDMAN PA-C
PO BOX 457 5 E ALVON ROAD, SUITE 7
WHITE SULPHUR SPRINGS, WV 24986-2373
Phone number: 304-536-5030
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