Provider Demographics
NPI:1346227048
Name:WEBB, ROY TIMOTHY (MD)
Entity type:Individual
Prefix:DR
First Name:ROY
Middle Name:TIMOTHY
Last Name:WEBB
Suffix:
Gender:M
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:PO BOX 749495
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9495
Mailing Address - Country:US
Mailing Address - Phone:239-432-8331
Mailing Address - Fax:
Practice Address - Street 1:133 HARMONY PARK
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-5417
Practice Address - Country:US
Practice Address - Phone:501-624-7700
Practice Address - Fax:501-623-5788
Is Sole Proprietor?:No
Enumeration Date:2005-12-23
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARC16126207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR110801001Medicaid
830000017OtherRAILROAD MEDICARE
ARD75049Medicare UPIN
AR110801001Medicaid
AR50194Medicare ID - Type Unspecified