Provider Demographics
NPI:1881014330
Name:WEBB AESTHETIC PLASTIC SURGERY, PC
Entity Type:Organization
Organization Name:WEBB AESTHETIC PLASTIC SURGERY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:LELAND
Authorized Official - Middle Name:SHAYNE
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-410-3676
Mailing Address - Street 1:836 N THOMPSON LN
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4342
Mailing Address - Country:US
Mailing Address - Phone:615-410-3676
Mailing Address - Fax:
Practice Address - Street 1:836 N THOMPSON LN
Practice Address - Street 2:SUITE 2A
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4342
Practice Address - Country:US
Practice Address - Phone:615-410-3676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2014-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208200000XAllopathic & Osteopathic PhysiciansPlastic SurgeryGroup - Single Specialty