Individual
RUTH MARY WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
04-21069
KS
207Q00000X
Family Medicine Physician
Primary
40370
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054787
BCBS OF KANSAS
KS
05
—
100150890C
—
KS
01
—
631590
FIRSTGUARD
KS
Enumeration date
05/23/2006
Last updated
04/19/2017
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