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Individual

MR. RICHARD E WEBB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2309 WOODBINE AVE, KNOXVILLE, TN 37917-8215
(540) 309-3294
(865) 673-2059
Mailing address
2309 WOODBINE AVE, KNOXVILLE, TN 37917-8215
(540) 309-3294
(865) 673-2059

Taxonomy

Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
113091
TN
347C00000X
Private Vehicle
194963
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T000280
TN
Enumeration date
03/23/2009
Last updated
03/23/2009
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