Individual
DR. JOHN CALVIN WHITLEY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
(803) 640-6544
(803) 278-7318
Mailing address
1315 W MARTINTOWN RD, NORTH AUGUSTA, SC 29860-7631
(803) 640-6544
(803) 278-7318
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
17050
NC
2084P0800X
Psychiatry Physician
5088
AL
2084P0800X
Psychiatry Physician
Primary
9167
SC
Other
Enumeration date
07/11/2009
Last updated
07/15/2009
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