Individual
DR. EDWARD W WHITESIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408
Mailing address
1905 GLEN MEADE RD, WILMINGTON, NC 28403-6024
(910) 763-6251
(910) 763-7408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36671
NC
208800000X
Urology Physician
D98830
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
79-87180
—
NC
Enumeration date
09/13/2005
Last updated
12/05/2023
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