Individual
DR. JOSHUA ALLAN WHATLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4345 NELSON RD STE 102, LAKE CHARLES, LA 70605-4183
(337) 480-7900
(337) 602-6358
Mailing address
P O BOX 123594, DEPT 3594, DALLAS, TX 75312-3594
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD.204810
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2107747
—
LA
01
—
MD.204810
STATE MEDICAL LICENSE
LA
Enumeration date
04/23/2010
Last updated
06/09/2022
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