Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 069731 | GA |
NPI | 1033310552 |
---|---|
Provider Name | Daniel Barnes Webb |
First Address | Rome, GA 30165-1369 |
Second Address | Rome, GA 30165-1416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/05/2007 |
Last Update Date | 05/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
003134699A | (05) | GA |
003134704A | (05) | GA |