Mr. Liston Alexander Weatherly Jr. is a Hartsville, South Carolina based nurse practitioner with 9 years of experience in . He completed his graduation in 2016. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Liston Alexander Weatherly Jr. is 21363 in South Carolina. His current practice location is 1268 S 4th St, Hartsville. Patients can reach him at 803-484-5317. Mr. Liston Alexander Weatherly Jr. is APRN and his NPI number (Unique professional ID assigned by NPPES) is 1912413832. Mr. Liston Alexander Weatherly Jr. has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Mr. Liston Alexander Weatherly Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Mr. Liston Alexander Weatherly Jr.
Specialization:
Nurse Practitioner (NP)
Gender:
Male
Credentials:
APRN
Experience:
9+ years
Medical School Attended:
Other
Graduation Year:
2016
Accepts Medicare Assignment:
Yes
Practice Address:
1268 S 4th St, Hartsville, South Carolina, 29550-0703
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9436411188
Enrollment ID:
I20180319000505
NPI Number:
1912413832
NPI Enumeration Date:
15 Dec, 2017
NPI Last Update On:
22 Sep, 2021
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Liston Alexander Weatherly Jr. are as mentioned below.
License Number
Specialization
State
Status
21363
South Carolina
Primary
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Mr. Liston Alexander Weatherly Jr. is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Caresouth Carolina Inc. (1052221314)
37
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Mr. Liston Alexander Weatherly Jr. Po Box 1090, Hartsville, South Carolina
Zip:
29551-1090
Phone Number:
843-857-0111
Patients can reach Mr. Liston Alexander Weatherly Jr. at 1268 S 4th St, Hartsville, South Carolina or can call to book an appointment on 803-484-5317.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 January, 2025.