Individual
JAMES B WHITWORTH
Active
Individual
JAMES B WHITWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
6910
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000080470
MEDICARE PTAN
MT
05
—
0216104
—
MT
01
—
14021
BLUE CROSS BLUE SHIELD
MT
01
—
260031742
RAILROAD MEDICARE
—
Enumeration date
10/04/2005
Last updated
02/03/2012
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