Provider Demographics
NPI:1912905001
Name:WEBSTER, JOSEPH C (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:C
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2300 RAMSEY ST
Mailing Address - Street 2:VETERANS HOSPITAL FAYETTEVILLE
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3856
Mailing Address - Country:US
Mailing Address - Phone:910-482-5152
Mailing Address - Fax:910-482-5155
Practice Address - Street 1:2300 RAMSEY ST
Practice Address - Street 2:VETERANS HOSPITAL FAYETTEVILLE
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3856
Practice Address - Country:US
Practice Address - Phone:910-482-5152
Practice Address - Fax:910-482-5155
Is Sole Proprietor?:No
Enumeration Date:2005-07-12
Last Update Date:2008-02-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0101237540207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD85736Medicare UPIN