Provider Demographics
NPI:1366969438
Name:EXPERT WITNESS SERVICES LLC
Entity type:Organization
Organization Name:EXPERT WITNESS SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:WEITZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:901-634-6210
Mailing Address - Street 1:204 MORAYSHIRE CT
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-5597
Mailing Address - Country:US
Mailing Address - Phone:919-346-4442
Mailing Address - Fax:
Practice Address - Street 1:4701 S OCEAN BLVD APT 5F
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-5367
Practice Address - Country:US
Practice Address - Phone:901-634-6210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC39135207P00000X
261QH0100X, 261QM1000X, 261QU0200X, 261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care