Provider Demographics
NPI:1548291859
Name:WEBB, HAROLD J (MD)
Entity type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:J
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 3247
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37664-0247
Mailing Address - Country:US
Mailing Address - Phone:423-207-4627
Mailing Address - Fax:423-343-4921
Practice Address - Street 1:1880 N EASTMAN RD
Practice Address - Street 2:STE 310
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37664-2382
Practice Address - Country:US
Practice Address - Phone:423-207-4627
Practice Address - Fax:423-343-4921
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2024-07-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN447452086S0105X, 208200000X, 208200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1514721Medicaid
TN3042187Medicare PIN
ALI50215Medicare UPIN