Provider Demographics
NPI:1316515521
Name:WEEKES, CLIFFORD M (PA-C)
Entity type:Individual
Prefix:
First Name:CLIFFORD
Middle Name:M
Last Name:WEEKES
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1328 PATTERSON ST
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4348
Mailing Address - Country:US
Mailing Address - Phone:704-694-6700
Mailing Address - Fax:
Practice Address - Street 1:1328 PATTERSON ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4348
Practice Address - Country:US
Practice Address - Phone:704-694-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-14
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0010-15588363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical