Individual
GREGORY CALEB WHIGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1108 ROSS CLARK CIR, DOTHAN, AL 36301-3022
(334) 793-8087
(334) 793-8191
Mailing address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
(334) 347-2080
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1120381
AL
367500000X
Certified Registered Nurse Anesthetist
Primary
1-120381
AL
Other
Enumeration date
10/15/2012
Last updated
05/01/2017
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