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NPI Code Detail

MEDICARE: LINDA KAY WEAVER LM, CPM

MEDICARE: LINDA KAY WEAVER LM, CPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1176B00000XMidwifeLMW029SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134187123
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA KAY WEAVER LM, CPM
Provider Business Mailing Address
First Line : 850 FLOYD ROAD EXT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-1048
Country : US
Telephone Number : 864-585-7921
Fax Number : 864-583-7201
Provider Business Practice Location Address
First Line : 850 FLOYD ROAD EXT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-1048
Country : US
Telephone Number : 864-585-7921
Fax Number : 864-583-7201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2006
Last Update Date : 02/09/2017

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Directions to “ LINDA KAY WEAVER LM, CPM” Practice Location

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