Doctor Name: | VALARIE IRENE WEBB |
NPI Number: | 1033342506 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | N.P.-C |
License Number: | RN118538 |
Business Practice Address: | 1112 Plaza Ave Ste B Eastman, GA - 310239012 |
Business Phone Number: | 4783747841 |
Business Fax Number: | 4783747878 |
Mailing Address: | 1112 Plaza Ave Ste B, EASTMAN |
State: | GA |
Postal Code: | 310239012 |
Phone Number: | 4783747841 |
Fax Number: | 4783747878 |
NPI Enumeration Date: | 08/31/2009 |
NPI Last Update Date: | 10/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN118538 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |