Individual
MATTHEW T WHITEHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4501 EMPIRE CT, FREDERICKSBURG, VA 22408-1949
(540) 371-0079
Mailing address
9904 S HARRIS FARM RD, SPOTSYLVANIA, VA 22553-1974
(540) 435-2692
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME113141
FL
207RH0000X
Hematology (Internal Medicine) Physician
0101257665
VA
207RX0202X
Medical Oncology Physician
Primary
0101257665
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/22/2009
Last updated
12/19/2019
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