TARA ANN WEAVER

COLUMBIA, SC
NPI1609736453
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: SC  6140)
Enumeration Date2025-11-14
Last Update Date2025-11-14
Business Address
TARA ANN WEAVER
1600 LAKE MURRAY BLVD
COLUMBIA, SC 29212-8623
Phone number: 803-731-9600
Mailing Address
TARA ANN WEAVER
117 WHITE BIRCH CT
LEXINGTON, SC 29073-6905
Phone number: