Individual
DR. VERNON CHARLTON WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10706 MARLBORO AVE, BARNWELL, SC 29812-6376
(803) 259-7337
(803) 259-9505
Mailing address
86 WREN ST, BARNWELL, SC 29812-1529
(803) 259-5762
(803) 259-3250
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18498
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18498
MEDICAL LICENSE
SC
05
—
184981
—
SC
01
—
SCC997
MEDICARE
SC
Enumeration date
10/24/2006
Last updated
01/11/2024
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