Individual
TRISHA WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1891
Mailing address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1891
(478) 633-5153
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
16375
GA
208600000X
Surgery Physician
2023019838
MO
Other
Enumeration date
06/12/2023
Last updated
06/30/2024
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