Individual
DR. CHARLES FREDERIC WHITAKER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 18TH ST, SUITE 304, PARKERSBURG, WV 26101-3231
(304) 424-4961
(304) 424-4861
Mailing address
600 18TH ST, SUITE 304, PARKERSBURG, WV 26101-3231
(304) 424-4961
(304) 424-4861
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
WV09456
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0111982000
—
WV
Enumeration date
07/07/2005
Last updated
10/05/2011
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