Individual
DR. SUSAN T WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE STE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Mailing address
3024 NEW BERN AVE STE 300, RALEIGH, NC 27610-1247
(919) 350-8228
(919) 350-7976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9901 076
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9901 076
MEDICAL LICENSE NUMBER
NC
Enumeration date
01/23/2007
Last updated
02/02/2009
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