Individual
DR. PAUL I REISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4915 ALBEMARLE RD, CHARLOTTE, NC 28205-6617
(704) 568-5444
(704) 568-5445
Mailing address
4915 ALBEMARLE RD, CHARLOTTE, NC 28205-6617
(704) 568-5444
(704) 568-5445
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
103
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08145
BCBS
NC
05
—
8908145
—
NC
Enumeration date
12/05/2005
Last updated
07/09/2007
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