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NPI Code Detail

MEDICARE: MR. THOMAS RAYMOND WEBER PA-C

MEDICARE: MR. THOMAS RAYMOND WEBER PA-C
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
1363A00000XPhysician Assistant001015946NC
2363AM0700XMedical Physician AssistantPA2006-0027NM

General Provider Information

NPI Number : 1265679021
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. THOMAS RAYMOND WEBER PA-C
Provider Business Mailing Address
First Line : 695 S BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5919
Country : US
Telephone Number : 910-687-4888
Fax Number :
Provider Business Practice Location Address
First Line : 695 S BENNETT ST
Second Line :
City : SOUTHERN PINES
State : NC
Zip : 28387-5919
Country : US
Telephone Number : 910-687-4888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2009
Last Update Date : 10/23/2025

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