=====================================================
General NPI Number Information
=====================================================
NPI Number | 1174220883
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DR. CYNTHIA WEBB
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/13/2023
-----------------------------------------------------
Last Update Date | 02/13/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 35 HOSPITAL RD
-----------------------------------------------------
City | BLAIRSVILLE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30512-3139
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-706-2111
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 53 SUGAR MAPLE RD
-----------------------------------------------------
City | MURPHY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 28906-6203
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208100000X
-----------------------------------------------------
Taxonomy Name | Physical Medicine & Rehabilitation Physician
-----------------------------------------------------
License Number | PT015057
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------