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Individual

WHEATON JOHN WILLIAMS

Active
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Individual

WHEATON JOHN WILLIAMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
200100985
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0190G
BCBS OF NC
NC
01
133F5
NC BLUE CROSS BLUE SHIELD
NC
05
790190G
NC
05
89133F5
NC
Enumeration date
07/05/2005
Last updated
02/01/2012
Update your record

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