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Individual
MICHAEL THOMAS WHITEHURST
Active
Individual
MICHAEL THOMAS WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08994
NC
Other
Enumeration date
04/09/2019
Last updated
06/26/2023
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