Individual
ANNA WEISS KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2270 ASHLEY CROSSING DR, STE 170, CHARLESTON, SC 29414-5732
(843) 763-3700
(843) 763-3714
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
33093
SC
207R00000X
Internal Medicine Physician
4301090716
MI
208000000X
Pediatrics Physician
Primary
33093
SC
208000000X
Pediatrics Physician
4301090716
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
330939
—
SC
01
—
P00969047
RR MEDICARE ID-RSFPN
SC
Enumeration date
09/24/2007
Last updated
10/27/2011
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