Provider Demographics
NPI:1346977782
Name:WEBER, PAUL H (CO)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:H
Last Name:WEBER
Suffix:
Gender:M
Credentials:CO
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Mailing Address - Street 1:711 SALUDA DR STE A1
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4578
Mailing Address - Country:US
Mailing Address - Phone:843-804-4436
Mailing Address - Fax:843-799-1271
Practice Address - Street 1:1661 E MAIN ST
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3791
Practice Address - Country:US
Practice Address - Phone:864-859-4709
Practice Address - Fax:864-855-9331
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-05
Last Update Date:2022-08-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case Management