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Individual

TY T WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
457 VISTA DR, SPARTA, TN 38583
(931) 738-3383
(931) 738-8911
Mailing address
457 VISTA DR, SPARTA, TN 38583
(931) 738-3383
(931) 738-8911

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
28575
TN

Other

Enumeration date
10/14/2005
Last updated
11/23/2009
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