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NPI Code Detail

MEDICARE: CHERYL WEYERS MD

MEDICARE: CHERYL WEYERS 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
1207R00000XInternal Medicine Physician2007-01113NC

General Provider Information

NPI Number : 1366445207
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL WEYERS MD
Provider Business Mailing Address
First Line : PO BOX 19305
Second Line :
City : CHARLOTTE
State : NC
Zip : 28219-9305
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 301 YADKIN ST
Second Line :
City : ALBEMARLE
State : NC
Zip : 28001-3441
Country : US
Telephone Number : 704-984-4365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2005
Last Update Date : 02/11/2021

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