Provider Demographics
NPI:1649432329
Name:WEBB, DAVID MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MICHAEL
Last Name:WEBB
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2784 N DECATUR RD STE 120
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-5993
Mailing Address - Country:US
Mailing Address - Phone:678-383-7246
Mailing Address - Fax:404-228-3222
Practice Address - Street 1:2784 N DECATUR RD STE 120
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-5993
Practice Address - Country:US
Practice Address - Phone:678-383-7246
Practice Address - Fax:678-782-2827
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-25
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA67179207LP2900X, 207LP2900X, 207L00000X
PAMD444794207LA0401X
NV16063207LP2900X
IA40894207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207LA0401XAllopathic & Osteopathic PhysiciansAnesthesiologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA67179OtherGA LICENSE
GA2442Medicaid