Provider Demographics
NPI:1992843742
Name:WEBB, MARK CHATMAN (MD)
Entity Type:Individual
Prefix:
First Name:MARK
Middle Name:CHATMAN
Last Name:WEBB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:576 HIGHLAND COLONY PARKWAY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:RIDGELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39157-8769
Mailing Address - Country:US
Mailing Address - Phone:601-853-2676
Mailing Address - Fax:601-853-9535
Practice Address - Street 1:576 HIGHLAND COLONY PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:RIDGELAND
Practice Address - State:MS
Practice Address - Zip Code:39157-8769
Practice Address - Country:US
Practice Address - Phone:601-853-2676
Practice Address - Fax:601-853-9535
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA125672084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry