Provider Demographics
NPI:1902168784
Name:GEDDINGS, WESTON HARRIS (MD)
Entity Type:Individual
Prefix:
First Name:WESTON
Middle Name:HARRIS
Last Name:GEDDINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPARTMENT OF PSYCHIATRY CB# 7160
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-966-5217
Mailing Address - Fax:919-966-9646
Practice Address - Street 1:101 MANNING DR
Practice Address - Street 2:DEPARTMENT OF PSYCHIATRY CB# 7160
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-4220
Practice Address - Country:US
Practice Address - Phone:919-966-5217
Practice Address - Fax:919-966-9646
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-08
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC183034390200000X
PAMD4656122084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program