MEDICARE: EDWARD C WEISS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2083P0901X	Public Health & General Preventive Medicine Physician	57514	GA
2	207R00000X	Internal Medicine Physician	57514	GA

General Provider Information

NPI Number	:	1669410965
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD C WEISS M.D.

Provider Business Mailing Address
First Line	:	710 TROWGATE CT
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30350-6888
Country	:	US
Telephone Number	:	404-964-4223
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 CLIFTON ROAD NE, MAILSTOP V24-5
Second Line	:	CDC/NCSTLTPHIW/DWD/ELWB/FRST
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	770-488-2624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2006
Last Update Date	:	03/13/2025

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Directions to “ EDWARD C WEISS M.D.” Practice Location

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