Individual
RALPH E WHATLEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 983-1133
Mailing address
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014-1838
(540) 981-7000
(540) 983-1133
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0101-242430
VA
207RP1001X
Pulmonary Disease Physician
9501454
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508849381
—
VA
01
—
290009164
RAILROAD MEDICARE
NC
01
—
86712
BCBS NC
NC
05
—
8986712
—
NC
Enumeration date
11/25/2005
Last updated
08/18/2021
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