Provider Demographics
NPI:1174520670
Name:WEBER, RONALD S (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:WEBER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1000 CORPORATE CENTER DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-4180
Mailing Address - Country:US
Mailing Address - Phone:770-968-8888
Mailing Address - Fax:770-960-2473
Practice Address - Street 1:1000 CORPORATE CENTER DR
Practice Address - Street 2:SUITE 100
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-4180
Practice Address - Country:US
Practice Address - Phone:770-968-8888
Practice Address - Fax:770-960-2473
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2009-08-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA038125207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA11898OtherCOVENTRY PPO
GA0816347OtherUHC
GA000724292IMedicaid
GA5080141OtherAETNA
GA202226OtherCOVENTRY HMO
GA52650070 013OtherBCBS
GA5080141OtherAETNA
GA000724292IMedicaid