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NPI Code Detail

MEDICARE: DR. LINDSEY WONG WEBB MD

MEDICARE: DR. LINDSEY WONG WEBB MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208200000XPlastic Surgery Physician73415GA
22086S0122XPlastic and Reconstructive Surgery Physician73415GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285869867
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LINDSEY WONG WEBB MD
Provider Business Mailing Address
First Line : 5505 PEACHTREE DUNWOODY RD STE 220
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1749
Country : US
Telephone Number : 404-661-6865
Fax Number :
Provider Business Practice Location Address
First Line : 5505 PEACHTREE DUNWOODY RD STE 580
Second Line :
City : ATLANTA
State : GA
Zip : 30342-1727
Country : US
Telephone Number : 404-661-6865
Fax Number : 866-259-1439
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2009
Last Update Date : 11/14/2024

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