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Individual
DR. CAROL J WEIDA
Active
Individual
DR. CAROL J WEIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20924
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
36040
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8976636
—
NC
05
—
N36040
—
SC
Enumeration date
08/09/2005
Last updated
11/18/2024
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