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Individual

DR. RONALD S WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1000 CORPORATE CENTER DR, SUITE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473
Mailing address
1000 CORPORATE CENTER DR, SUITE 100, MORROW, GA 30260-4180
(770) 968-8888
(770) 960-2473

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
038125
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000724292I
GA
01
0816347
UHC
GA
01
11898
COVENTRY PPO
GA
01
202226
COVENTRY HMO
GA
01
5080141
AETNA
GA
01
52650070 013
BCBS
GA
Enumeration date
06/30/2005
Last updated
08/13/2009
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