Individual
MILES WARREN WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1816 DOCTORS DR, SANFORD, NC 27330-5057
(910) 484-2284
(910) 484-1673
Mailing address
1816 DOCTORS DR, SANFORD, NC 27330-5057
(919) 774-8631
(919) 718-0784
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
36452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8989069
—
NC
Enumeration date
06/24/2006
Last updated
10/28/2014
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