Individual
DR. ROBERT NORTON WHITAKER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 JAKE ALEXANDER BLVD W, SUITE 101, SALISBURY, NC 28147-1384
(704) 637-5668
(704) 637-5605
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 637-5668
(704) 637-5605
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9500766
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4643732
AETNA
NC
01
—
497460
GREAT WEST
NC
01
—
5004137001
CIGNA
NC
01
—
86917
BLUE CROSS BLUE SHIELD
NC
05
—
8986917
—
NC
01
—
D6693
MEDCOST
NC
Enumeration date
11/10/2005
Last updated
10/25/2020
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