Individual
KEITH MATTHEW WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
48 CROSS PARK CT, DEPT OF PEDIATRIC SURGERY AND NEUROSURGERY, GREENVILLE, SC 29605-4263
(864) 797-7400
(864) 797-7405
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
29155
SC
2086S0102X
Surgical Critical Care Physician
29155
SC
2086S0120X
Pediatric Surgery Physician
Primary
29155
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291552
—
SC
Enumeration date
07/18/2006
Last updated
05/14/2021
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