Organization
WHITEHURST ANESTHESIA P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L WHITEHURST (PRESIDENT)
(573) 686-5550
Entity
Organization
Contact information
Practice address
701 DOCTORS DR STE N, KINSTON, NC 28501-1584
(573) 686-5550
Mailing address
209 S MAIN ST, POPLAR BLUFF, MO 63901-5831
(573) 686-5550
(573) 686-2139
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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