Individual
CARL B WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8405 N RUN MEDICAL DR, MECHANICSVILLE, VA 23116-2309
(804) 789-8600
(804) 789-8619
Mailing address
8405 N RUN MEDICAL DR, MECHANICSVILLE, VA 23116-2309
(804) 789-8600
(804) 789-8619
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
0101242939
VA
207XS0106X
Orthopaedic Hand Surgery Physician
39392
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001933098
—
MS
01
—
0723280001
PALMETTO
TN
01
—
110318002
ARKANSAS MEDICAID
AR
05
—
1184627820
—
VA
05
—
3371161
—
TN
01
—
4101961
BCBS
TN
01
—
620819926
BCBS
MS
01
—
620819926
AETNA
TN
01
—
P00615742
RAILROAD MEDICARE
VA
Enumeration date
05/26/2005
Last updated
04/04/2023
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