Provider Demographics
NPI:1356667570
Name:WEBB, CAROL DWAN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:DWAN
Last Name:WEBB
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CAROL
Other - Middle Name:ROSE
Other - Last Name:DWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3800 ROBERT PORCHER WAY
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-2557
Mailing Address - Country:US
Mailing Address - Phone:336-282-0376
Mailing Address - Fax:
Practice Address - Street 1:3800 ROBERT PORCHER WAY
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-2557
Practice Address - Country:US
Practice Address - Phone:336-282-0376
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-13
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101255559207Q00000X, 207R00000X
NC201400181207R00000X, 207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine