STACY W WEAVER

ORANGEBURG, SC
NPI1609127075
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: SC  1829)
Enumeration Date2012-09-26
Last Update Date2013-04-23
Business Address
Ms. STACY W WEAVER P.A.
1619 CAROLINA AVE
ORANGEBURG, SC 29115-4939
Phone number: 803-537-7474
Mailing Address
Ms. STACY W WEAVER P.A.
PO BOX 1245
ORANGEBURG, SC 29116-1245
Phone number: 803-395-4561
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