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Individual

GARY R WHITAKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
212 THOMPSON ST STE A, HENDERSONVILLE, NC 28792-2949
(828) 697-3232
Mailing address
212 THOMPSON ST STE A, HENDERSONVILLE, NC 28792-2949
(828) 697-3232

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
20860
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8986915
NC
Enumeration date
08/01/2006
Last updated
07/08/2007
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