Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD.36006 | AL |
N | 208000000X | Pediatrician | MD444660 | PA |
N | 2080P0210X | Pediatric Nephrologist | 57.025964 | OH |
Y | 2080P0210X | Pediatric Nephrologist | MD.36006 | AL |
NPI | 1508138249 |
---|---|
Provider Name | Dr. Tennille N Webb |
First Address | Birmingham, AL 35233-1711 |
Second Address | Birmingham, AL 35233-1711 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2012 |
Last Update Date | 05/05/2021 |