Individual
DR. SUSAN MICHELLE WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 973-5500
Mailing address
PO BOX 96782, CHARLOTTE, NC 28296-6782
(704) 973-5500
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
2017-00184
NC
207ZB0001X
Blood Banking & Transfusion Medicine Physician
87628
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
2017-00184
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
87628
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710170030
—
NC
01
—
19QL8
BCBS OF NC
NC
Enumeration date
08/21/2007
Last updated
11/18/2024
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