Healthcare Provider Details

I. General information

NPI: 1053588335
Provider Name (Legal Business Name): ROBERT J. WEBB, M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 07/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

727 COX CREEK PKWY
FLORENCE AL
35630-1001
US

IV. Provider business mailing address

727 COX CREEK PKWY
FLORENCE AL
35630-1001
US

V. Phone/Fax

Practice location:
  • Phone: 256-764-9613
  • Fax: 256-767-4751
Mailing address:
  • Phone: 256-764-9613
  • Fax: 256-767-4751

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QH0002X
TaxonomyHospice and Palliative Medicine (Family Medicine) Physician
License Number18789
License Number StateAL

VIII. Authorized Official

Name: DR. ROBERT JOHN WEBB
Title or Position: PRESIDENT
Credential: M.D.
Phone: 256-764-9613