Individual
MR. ALBERT WHITAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 S NEW HOPE RD, SUITE K, GASTONIA, NC 28054-4873
(704) 867-7494
(704) 867-7432
Mailing address
224 SOUTH NEW HOPE RD., SUITE K, GASTONIA, NC 28054-0020
(704) 867-7494
(704) 867-7432
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
23244
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86901
BCBSNC
NC
05
—
8986901
—
NC
Enumeration date
01/17/2007
Last updated
02/22/2010
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