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NPI Code Detail

MEDICARE: SONJA TERRY WEBB M.D.

MEDICARE: SONJA TERRY WEBB M.D.
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
1207R00000XInternal Medicine Physician55900TN
2207R00000XInternal Medicine Physician34099KY
3208000000XPediatrics Physician34099KY
4208000000XPediatrics Physician55900TN

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 : 1336147776
Entity Type Code : Individual
Provider Name (Legal Business Name) : SONJA TERRY WEBB M.D.
Provider Business Mailing Address
First Line : 300 20TH AVE N STE 403
Second Line :
City : NASHVILLE
State : TN
Zip : 37203-5180
Country : US
Telephone Number : 615-396-5822
Fax Number :
Provider Business Practice Location Address
First Line : 1559 SPARTA ST
Second Line :
City : MCMINNVILLE
State : TN
Zip : 37110-1316
Country : US
Telephone Number : 615-396-5822
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2005
Last Update Date : 03/11/2019

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