Individual
TERRANCE DAVID WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
210 E DERENNE AVE, ATTN: PROVIDER ENROLLMENT, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Mailing address
210 E DERENNE AVE, ATTN: PROVIDER ENROLLMENT, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN094097NP
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000924833C
—
GA
05
—
000924833D
—
GA
Enumeration date
05/08/2006
Last updated
09/14/2015
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