Individual
DR. BEREAVAL SHAMAROL WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
303 PERIMETER CTR N STE 300, ATLANTA, GA 30346-3401
(404) 388-2757
Mailing address
889 VENETTA PL NW, ATLANTA, GA 30318-6029
(404) 388-2757
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
GA053964
GA
207QA0401X
Addiction Medicine (Family Medicine) Physician
053964
GA
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
053964
GA
208VP0000X
Pain Medicine Physician
053964
GA
Other
Enumeration date
09/26/2006
Last updated
12/17/2010
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