Individual
SANDRA L WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 W FARIS RD, SUITE D, GREENVILLE, SC 29605-4254
(864) 455-9031
(864) 455-9014
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
18876
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00797730
RAILROAD MEDICARE
SC
05
—
T29225
—
SC
Enumeration date
06/09/2006
Last updated
06/18/2021
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