Provider Demographics
NPI:1306844832
Name:WEFALD, FRANKLIN CHARLES (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANKLIN
Middle Name:CHARLES
Last Name:WEFALD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:101 E MARKET ST
Mailing Address - Street 2:SUITE 1-H
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3915
Mailing Address - Country:US
Mailing Address - Phone:919-209-9856
Mailing Address - Fax:919-209-9859
Practice Address - Street 1:101 E MARKET ST
Practice Address - Street 2:SUITE 1-H
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3915
Practice Address - Country:US
Practice Address - Phone:919-209-9856
Practice Address - Fax:919-209-9859
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2016-01-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC31685207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89-86305Medicaid
NC060055040OtherRR MEDICARE
NC89-86305Medicaid
NCNCQ383AMedicare PIN