Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 44745 | TN |
Y | 208600000X | Surgeon | 44745 | TN |
N | 2086S0105X | Surgery of the Hand | 44745 | TN |
NPI | 1548291859 |
---|---|
Provider Name | Dr. Harold James Webb |
First Address | Kingsport, TN 37664-0247 |
Second Address | Kingsport, TN 37664-2382 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2006 |
Last Update Date | 14/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1514721 | (05) | TN |
I50215 | (02) | AL |