Individual
DAVID C WHITEHEAD JR.
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1831 RESERVOIR ST, HARRISONBURG, VA 22801-8743
(540) 433-9151
(540) 433-0547
Mailing address
1831 RESERVOIR ST, HARRISONBURG, VA 22801-8743
(540) 433-9151
(540) 433-0547
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101023729
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011307
ANTHEM ID
VA
01
—
145610
SOUTHERN HEALTH ID
VA
Enumeration date
08/04/2005
Last updated
07/08/2007
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