Individual
HUBERT C WHEATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1124 FOX MEADOWS BLVD, STE 3, SEVIERVILLE, TN 37862-6927
(865) 428-0312
Mailing address
1225 E WEISGARBER RD, STE 200, KNOXVILLE, TN 37909-2604
(865) 584-4747
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11974
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110014992
RR MEDICARE PIN
TN
05
—
3009768
—
TN
Enumeration date
06/15/2006
Last updated
05/09/2008
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