| Organization Name: | WEBB PRIMARY CARE LLC |
| NPI Number: | 1104282482 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GINGER WEBB (OWNER) |
| Mailing Address: | 419 Town Mountain Rd Suite 203 Pikeville |
| State: | KY US |
| Postal Code: | 415011631 |
| Phone Number: | 6062533003 |
| Fax Number: | 6062533002 |
| NPI Enumeration Date: | 01/03/2016 |
| NPI Last Update Date: | 01/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 3008661 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |