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Individual
MARJORIE MCDOWELL WHITEHEAD
Active
Individual
MARJORIE MCDOWELL WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
102169
NC
363A00000X
Physician Assistant
Primary
102169
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8101448
—
NC
Enumeration date
09/01/2005
Last updated
04/17/2024
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