Physician Compare National (NPI:1295812154)

HEALTHCARE PROVIDER: MICHAEL SHANNON WEATHERFORD D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1295812154
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9739149949
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041012001549
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEATHERFORD
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DC
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	CHIROPRACTIC
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1113 48TH N AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 117
	Group Practice or individual's line 2 address
City	MYRTLE BEACH
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	295775441
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y