LISTON ALEXANDER WEATHERLY

HARTSVILLE, SC
NPI1912413832
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: SC  21363)
Enumeration Date2017-12-15
Last Update Date2021-09-22
Business Address
Mr. LISTON ALEXANDER WEATHERLY APRN
1268 S 4TH ST
HARTSVILLE, SC 29550-0703
Phone number: 803-484-5317
Mailing Address
Mr. LISTON ALEXANDER WEATHERLY APRN
PO BOX 1090
HARTSVILLE, SC 29551-1090
Phone number: 843-857-0111
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