Provider Demographics
NPI:1740637594
Name:WEBBER, MICHAEL ADELBERT (MD)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:ADELBERT
Last Name:WEBBER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1755 HIGHWAY 34 E STE 2200
Mailing Address - Street 2:
Mailing Address - City:NEWNAN
Mailing Address - State:GA
Mailing Address - Zip Code:30265-3190
Mailing Address - Country:US
Mailing Address - Phone:770-502-2175
Mailing Address - Fax:770-254-7837
Practice Address - Street 1:1755 HIGHWAY 34 E STE 2200
Practice Address - Street 2:
Practice Address - City:NEWNAN
Practice Address - State:GA
Practice Address - Zip Code:30265-3190
Practice Address - Country:US
Practice Address - Phone:770-502-2175
Practice Address - Fax:770-254-7837
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-23
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92343207XS0106X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery