Organization
JAMES R WHARTON MD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES ROBERT WHARTON M.D. (SOLE DIRECTOR AND OFFICER)
(502) 245-4450
Entity
Organization
Contact information
Practice address
13802 LAKE POINT CIR STE 102, LOUISVILLE, KY 40223-4219
(502) 245-4450
(502) 245-4462
Mailing address
13802 LAKE POINT CIR STE 102, LOUISVILLE, KY 40223-4219
(502) 245-4450
(502) 245-4462
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/27/2007
Last updated
01/06/2010
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