Individual
DR. LEWIS A WHALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3100 MACCORKLE AVE SE, SUITE B1, CHARLESTON, WV 25304-1223
(304) 345-0667
(304) 345-0418
Mailing address
3100 MACCORKLE AVE SE, SUITE B1, CHARLESTON, WV 25304-1223
(304) 345-0667
(304) 345-0418
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
815
WV
Other
Enumeration date
01/12/2006
Last updated
07/10/2013
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