Individual
JOHN EDWARD WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2101 W ARLINGTON BLVD STE 210, GREENVILLE, NC 27834-5758
(252) 752-5000
(252) 931-7694
Mailing address
PO BOX 30750, GREENVILLE, NC 27833-0750
(252) 752-5000
(252) 931-7694
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
200700137
NC
2085R0202X
Diagnostic Radiology Physician
Primary
A66173
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144Y6
BCBSNC
NC
05
—
5908015
—
NC
Enumeration date
05/12/2006
Last updated
03/05/2021
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