Individual
MR. MARCUS D WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
152 HIGHWAY 143, ROAN MOUNTAIN, TN 37687-3002
(423) 772-3276
(423) 772-4816
Mailing address
PO BOX 850, ROGERSVILLE, TN 37857-0850
(423) 772-3276
(423) 772-4816
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
100781
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3348529
—
TN
01
—
4063399
BCBST
TN
Enumeration date
06/14/2005
Last updated
01/29/2010
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