Organization
B WEBB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BEREAVAL WEBB MD (PHYSICIAN)
(404) 388-2757
Entity
Organization
Contact information
Practice address
1675 LOWER ROSWELL RD, MARIETTA, GA 30318
(404) 388-2757
Mailing address
889 VENETTA PLACE NW, ATLANTA, GA 30318
(404) 388-2757
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
053964
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209069209D
—
GA
Enumeration date
02/25/2016
Last updated
02/25/2016
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