Individual
GARY S NIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1718 E 4TH ST, SUITE 501, CHARLOTTE, NC 28204-3261
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 887-7570
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
18692
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8962674
—
NC
05
—
N18692
—
SC
Enumeration date
07/29/2005
Last updated
10/25/2020
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