Provider Demographics
NPI:1730138298
Name:WEISS, SHARON W (MD)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:W
Last Name:WEISS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:EMORY UNIVERSITY HOSPITAL
Mailing Address - Street 2:1364 CLIFTON RD., RM. H178
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322-0001
Mailing Address - Country:US
Mailing Address - Phone:404-712-0709
Mailing Address - Fax:404-712-4454
Practice Address - Street 1:EMORY UNIVERSITY HOSPITAL
Practice Address - Street 2:1364 CLIFTON RD., RM. H178
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322-0001
Practice Address - Country:US
Practice Address - Phone:404-712-0709
Practice Address - Fax:404-712-4454
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
GA045362207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAF14638Medicare UPIN