Individual
RICHARD WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 CENTER ST, MOBILE, AL 36604-3301
(251) 415-1055
(251) 415-1045
Mailing address
PO BOX 40480, MOBILE, AL 36640-0480
(251) 415-1055
(251) 415-1045
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
14210
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000018906
—
AL
05
—
0113590
—
MS
05
—
1450740
—
LA
05
—
255645600
—
FL
01
—
47-10047
UNITED HEALTH CARE
AL
01
—
51018906
BLUE CROSS
AL
Enumeration date
06/07/2006
Last updated
05/12/2015
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