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Individual

MR. NORRIS WALTER WHITLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3523 PELHAM RD, SUITE C, GREENVILLE, SC 29615-4191
(864) 306-0966
(864) 306-2544
Mailing address
PO BOX 14611, GREENVILLE, SC 29610-4611
(864) 306-0966
(864) 306-2544

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
9586
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
095863
SC
Enumeration date
12/06/2005
Last updated
12/23/2021
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