Individual
MARCUS CRAIG WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2636 DR MARTIN LUTHER KING JR BLVD, NEW BERN, NC 28562-4238
(252) 636-1919
(252) 636-2656
Mailing address
PO BOX 896206, CHARLOTTE, NC 28289-6206
(252) 636-1919
(252) 636-2656
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
200300105
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
136MF
BLUE CROSS
NC
01
—
2018380C
MEDICARE PTAN
NC
05
—
89136MF
—
NC
Enumeration date
08/31/2005
Last updated
07/30/2019
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