Provider Demographics
NPI:1548477722
Name:MYERS-WEBB, ADRIANNE LEE (MD)
Entity type:Individual
Prefix:DR
First Name:ADRIANNE
Middle Name:LEE
Last Name:MYERS-WEBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ADRIANNE
Other - Middle Name:LEE
Other - Last Name:MYERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 405827
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30384-9446
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6215 HUMPHREYS BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2367
Practice Address - Country:US
Practice Address - Phone:901-227-9870
Practice Address - Fax:901-227-9879
Is Sole Proprietor?:No
Enumeration Date:2007-05-17
Last Update Date:2016-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN501022086S0120X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery