Individual
SHAWNEE D WEIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2709 BLUE RIDGE RD, STE 320, RALEIGH, NC 27607-6462
(919) 876-7692
(919) 954-3365
Mailing address
2709 BLUE RIDGE RD, STE 320, RALEIGH, NC 27607-6462
(919) 876-7692
(919) 954-3365
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
26882
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12485
BCBS
NC
05
—
8912485
—
NC
01
—
P00166091
MCR RR
NC
01
—
P00629149
RR MEDICARE
NC
Enumeration date
03/10/2006
Last updated
09/13/2011
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