Individual
MRS. DORRAINE B WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
(229) 671-6100
(229) 671-6774
Mailing address
3120 N OAK STREET EXT STE C, VALDOSTA, GA 31602-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN091563
GA
Other
Enumeration date
07/28/2010
Last updated
12/17/2013
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