MEDICARE: DR. WILLIAM EDWIN 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
1	208000000X	Pediatrics Physician	058238	GA

Other Identifiers

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

General Provider Information

NPI Number	:	1699797324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM EDWIN WEBB M.D.

Provider Business Mailing Address
First Line	:	10055 FORD AVE
Second Line	:	SUITE 4A
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-3972
Country	:	US
Telephone Number	:	912-756-3075
Fax Number	:	912-756-5291

Provider Business Practice Location Address
First Line	:	10055 FORD AVE
Second Line	:	SUITE 4A
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-3972
Country	:	US
Telephone Number	:	912-756-3075
Fax Number	:	912-756-5291

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	01/14/2010

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Directions to “ DR. WILLIAM EDWIN WEBB M.D.” Practice Location

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