Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | 59241 | TN |
NPI | 1043653280 |
---|---|
Provider Name | Samuel B Webb |
First Address | Thompsons Station, TN 37179-4408 |
Second Address | Thompsons Station, TN 37179-4408 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 19/11/2019 |