Individual
MRS. CHARLOTTE GRANT WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
220 BROADWAY ST, DAYTON, TN 37321-1114
(423) 775-1551
(423) 775-4742
Mailing address
610 EDGEWATER AVE, DAYTON, TN 37321-4230
(423) 775-1863
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
14422
TN
Other
Enumeration date
08/26/2010
Last updated
09/15/2010
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