MEDICARE: NATHANIEL WEATHINGTON MD

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
1	207RP1001X	Pulmonary Disease Physician	MD447660	PA
2	207R00000X	Internal Medicine Physician	MD29345	AL

General Provider Information

NPI Number	:	1063615466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATHANIEL WEATHINGTON MD

Provider Business Mailing Address
First Line	:	5224 7TH AVE S
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35212-3906
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD STE 2040
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3234
Country	:	US
Telephone Number	:	412-784-5888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/06/2007
Last Update Date	:	07/06/2023

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Directions to “ NATHANIEL WEATHINGTON MD” Practice Location

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