| Dr Matthew G Weeks, MD | |
|
3655 Mitchell St, Loris, SC 29569-2827 | |
| (843) 390-8159 | |
| Not Available |
| Full Name | Dr Matthew G Weeks |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 3655 Mitchell St, Loris, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336102904 | NPI | - | NPPES |
| MD85346 | Other | SC | STATE LICENSE |
| 187312 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 187312 (New York) | Secondary |
| 208000000X | Pediatrics | 85346 (South Carolina) | Primary |
| Entity Name | Physicians Of University Hospital Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417901323 PECOS PAC ID: 5890877542 Enrollment ID: O20080204000002 |
| Entity Name | North Shore-lij Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew G Weeks, MD 4000 Highway 9 E, Little River, SC 29566-7833 Ph: (843) 390-8159 | Dr Matthew G Weeks, MD 3655 Mitchell St, Loris, SC 29569-2827 Ph: (843) 390-8159 |
Dr. Lillian Fong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3617 Casey St Ste B, Loris, SC 29569 Phone: 843-716-8300 Fax: 843-716-9792 | |
Heather Richardson, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-663-8013 Fax: 843-663-8166 |