Webb, Terrance David
Webb, Terrance David is an individual health care provider with primary practice located at 210 E Derenne Ave Attn: Provider Enrollment, Savannah GA 31405-6736. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Webb, Terrance David can be contacted via phone (912) 644-5300.Contact Information
Primary practice address
210 E Derenne Ave Attn: Provider Enrollment
Savannah GA 31405-6736
Phone: (912) 644-5300
Fax: (912) 644-5260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | RN094097NP | Georgia |
Profile Details
| NPI number | 1457300592 |
|---|---|
| LBN Legal business name | Webb, Terrance David |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Sep 14th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457300592 | NPPES |
| Georgia | MEDICAID | 000924833D | |
| Georgia | MEDICAID | 000924833C |
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