Individual
BRENT WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2545 JACKSBORO PIKE, JACKSBORO, TN 37757-4847
(423) 566-8181
(423) 562-9692
Mailing address
1225 E WEISGARBER RD STE 200, KNOXVILLE, TN 37909-2675
(865) 584-4747
(865) 584-1363
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO1138
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1512219
—
TN
Enumeration date
06/30/2006
Last updated
10/18/2017
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