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NPI 1861027260

NPI 1861027260 : WEBB PLASTIC SURGERY : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1861027260
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    Entity Type          |    Organization 
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    Legal Business Name  |    WEBB PLASTIC SURGERY 
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Dates
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    Enumeration Date     |    03/05/2020
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    Last Update Date     |    03/05/2020
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Provider Practice Location Address
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    Address Line         |    5505 PEACHTREE DUNWOODY RD STE 220 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30342-1749
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    Country              |    US
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    Telephone            |    404-661-6865
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    Fax                  |    404-829-1312
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Provider Business Mailing Address
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    Address Line         |    1345 EDMUND PARK DR NE 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30306-2235
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    Country              |    US
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    Telephone            |    401-338-1131
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LINDSEY  WEBB 
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    Credential           |    MD
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    Telephone            |    401-338-1131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208200000X
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    Taxonomy Name        |    Plastic Surgery Physician
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    License Number       |    
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    License Number State |    
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