Individual
MARK ALEXANDER WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2131 S 17TH ST, WILMINGTON, NC 28401-7407
(910) 343-7000
Mailing address
PO BOX 20169, ROANOKE, VA 24018-0506
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
2013-01347
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19EF2
BCBS NC
NC
Enumeration date
12/27/2006
Last updated
10/17/2018
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