Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0100X | Occupational Health | 5442 | KY |
N | 207R00000X | Internist | LL38460 | SC |
N | 111NI0900X | Internist | LL38460 | SC |
NPI | 1124000765 |
---|---|
Provider Name | Dr. John Alexander Webb |
First Address | Hartsville, SC 29551-1704 |
Second Address | Newark, NJ 07103 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/11/2005 |
Last Update Date | 13/01/2022 |