Individual
DR. KERRY LEWAYNE WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2101 DUTCH FORK RD, CHAPIN, SC 29036-7576
(910) 742-9243
(888) 746-1787
Mailing address
PO BOX 538622, ATLANTA, GA 30353-8622
(910) 742-9243
(888) 746-1787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
934
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
934
SC
208600000X
Surgery Physician
SC LL 934
SC
208D00000X
General Practice Physician
Primary
934
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4551
—
SC
Enumeration date
04/06/2007
Last updated
03/14/2016
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