Organization
WEBB MEDICAL GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONJA WEBB MD (OWNER)
(606) 874-0009
Entity
Organization
Contact information
Practice address
93 PICKETT LN, PRESTONSBURG, KY 41653-8569
(606) 874-0009
(606) 874-0011
Mailing address
PO BOX 818, PRESTONSBURG, KY 41653-0818
(606) 874-0009
(606) 874-0009
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34099
KY
207R00000X
Internal Medicine Physician
Primary
37114
KY
208000000X
Pediatrics Physician
34099
KY
363A00000X
Physician Assistant
PA781
KY
363L00000X
Nurse Practitioner
2285P
KY
363LF0000X
Family Nurse Practitioner
3251P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388873
ANTHEM BLUE CROSS
KY
05
—
65944654
—
KY
01
—
DE6736
PALMETTO GBA
KY
Enumeration date
01/06/2007
Last updated
11/18/2014
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