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Individual

DR. SHARON B. WEISSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 RICHLAND MEDICAL PARK DR STE 420, COLUMBIA, SC 29203-6833
(803) 545-5350
(803) 545-5353
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
039036
CT
207R00000X
Internal Medicine Physician
TL32385
SC
207RI0200X
Infectious Disease Physician
039036
CT
207RI0200X
Infectious Disease Physician
Primary
32385
SC
207RI0200X
Infectious Disease Physician
TL32385
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0323372
CT
05
323858
SC
01
AA51482603
MEDICARE PTAN
SC
Enumeration date
07/05/2006
Last updated
04/23/2021
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