Individual
DR. LEE CARL WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 9TH STREET, ST THOMAS, VI 00802-0000
(340) 777-1996
Mailing address
PO BOX 7425, ST THOMAS, VI 00801-0425
(340) 777-1996
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD000035229
TN
207QA0505X
Adult Medicine Physician
Primary
1625
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009911897
—
AL
01
—
1508809625
NPI
TN
Enumeration date
06/14/2006
Last updated
05/09/2012
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