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NPI Code Detail

MEDICARE: ADAM CRAIG WEBER MD

MEDICARE: ADAM CRAIG WEBER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207WX0200XOphthalmic Plastic and Reconstructive Surgery Physician81318GA

General Provider Information

NPI Number : 1164798872
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADAM CRAIG WEBER MD
Provider Business Mailing Address
First Line : 750 TOWNPARK LN NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5824
Country : US
Telephone Number : 800-611-1811
Fax Number :
Provider Business Practice Location Address
First Line : 750 TOWNPARK LN NW
Second Line :
City : KENNESAW
State : GA
Zip : 30144-5824
Country : US
Telephone Number : 800-611-1811
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2012
Last Update Date : 05/01/2022

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