Individual
WHEATON JOHN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3412 GRAYSTONE PL SE, CONOVER, NC 28613-8262
(828) 326-3557
(828) 326-3557
Mailing address
810 FAIRGROVE CHURCH RD, HICKORY, NC 28602-9617
(828) 326-3557
(828) 326-2922
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
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