Individual
GREGORY WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 454-9213
(074) 549-2402
Mailing address
463 RIVERS RD, FAYETTEVILLE, GA 30214-3124
(045) 934-1594
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
029556
GA
207P00000X
Emergency Medicine Physician
Primary
25970
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000342614J
—
GA
Enumeration date
07/07/2006
Last updated
07/16/2022
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