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Individual
MR. NATHAN SIMRALL WHITFIELD
Active
Individual
MR. NATHAN SIMRALL WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA052033
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1577841
GATEWAY-WMG
PA
01
—
2109240
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/22/2007
Last updated
12/01/2015
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