Provider Demographics
NPI:1992540801
Name:WEBB, SHELBY J
Entity type:Individual
Prefix:
First Name:SHELBY
Middle Name:J
Last Name:WEBB
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6680 DELAWARE BND
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-2467
Mailing Address - Country:US
Mailing Address - Phone:678-663-7787
Mailing Address - Fax:
Practice Address - Street 1:2301 FAIRBURN RD SW STE B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-5011
Practice Address - Country:US
Practice Address - Phone:678-663-7787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-01
Last Update Date:2025-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)