Individual
STEVAN WEBSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
216 KINGSBRIDGE RD, MADISON, MS 39110-8485
(601) 862-7660
Mailing address
216 KINGSBRIDGE RD, MADISON, MS 39110-8485
(601) 862-7660
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
10101
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200307120
—
IN
Enumeration date
01/10/2006
Last updated
04/21/2014
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