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Contact Information

RENEE R DEWEESE, MD
SUMMIT CROSSING PLACE
STE 106
GASTONIA, NC28054
 Phone: 704-867-8021
 Fax: 704-864-4606
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuroradiology

2085N0700X
 

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for RENEE R DEWEESE · (Female)

NPI # 1023096781
Status Active
Credentials MD
Entity Individual
Enumeration date 01/04/2006
Last updated 03/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 200000394
  • NC Medicaid 89126JU
  • Other 2353072 AETNA HMO
  • Other 7543124 AETNA PPO
  • Other 126JU BLUE CROSS BLUE SHIELD
  • Other 97384 MEDCOST
  • Other 37295 PARTNERS
  • Other 300110411 RAILROAD MEDICARE
  • Other 1643188 UNITED HEALTHCARE
Hospital affiliation(s)
  • GASTON MEMORIAL HOSPITAL - (Acute Care)
    2525 COURT DR
    GASTONIA, NC 28052
  • PIEDMONT MEDICAL CENTER - (Acute Care)
    222 S HERLONG AVE
    ROCK HILL, SC 29730
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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