MEDICARE: CHRISTINA ROTH WEDDINGTON FNP

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	363LF0000X	Family Nurse Practitioner	737	SC

Other Identifiers

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

General Provider Information

NPI Number	:	1114962685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINA ROTH WEDDINGTON FNP

Provider Business Mailing Address
First Line	:	1 INDEPENDENCE PT
Second Line	:	SUITE 212
City	:	GREENVILLE
State	:	SC
Zip	:	29615-4545
Country	:	US
Telephone Number	:	864-797-6044
Fax Number	:

Provider Business Practice Location Address
First Line	:	1409 W GEORGIA RD
Second Line	:	SUITE B
City	:	SIMPSONVILLE
State	:	SC
Zip	:	29680-6419
Country	:	US
Telephone Number	:	864-454-5000
Fax Number	:	864-454-5005

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	04/10/2014

Similar Medicare Providers

1427012194 — PATRICIA LORENA CHEEK MD
Practice Location Address:

1409 W GEORGIA RD , SUITE D
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-6540
Practice Fax: 864-454-6545

1801838693 — BANKS RALEIGH CATES III M.D.
Practice Location Address:

1409 W GEORGIA RD , SUITE D
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-6540
Practice Fax: 864-454-6545

1780627281 — ROBIN W SIMPKINS ACNP
Practice Location Address:

1409 W GEORGIA RD , SUITE D
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-6540
Practice Fax: 864-454-6545

1407890932 — REBECCA STARR SMITH M.D.
Practice Location Address:

1409 W GEORGIA RD , SUITE B
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-5000
Practice Fax: 864-454-5005

1801923560 — ANNIE CLAUDE GERSH D.O.
Practice Location Address:

1409 W GEORGIA RD , SUITE B
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-5000
Practice Fax: 864-454-5005

1962607887 — KRISTEN DRIESSE MASON PT
Practice Location Address:

1409 W GEORGIA RD , STE C
SIMPSONVILLE, SC
29680-6419

Practice Phone: 864-454-5012
Practice Fax:

Directions to “ CHRISTINA ROTH WEDDINGTON FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.