Individual
DR. MEREDITH ANNE NIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
19485 OLD JETTON RD STE 100, CORNELIUS, NC 28031-6583
(704) 316-5170
(704) 316-5172
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
172772
OR
207R00000X
Internal Medicine Physician
Primary
2019-01858
NC
207R00000X
Internal Medicine Physician
52385
CO
207R00000X
Internal Medicine Physician
56376
CT
Other
Enumeration date
04/02/2010
Last updated
12/27/2021
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