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Individual

RICHARD J WHITLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 7TH AVE S, CHB ROOM 303, BIRMINGHAM, AL 35233-1711
(205) 934-5316
(205) 934-8559
Mailing address
1720 2ND AVE S, BIRMINGHAM, AL 35294-0113

Taxonomy

Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
6475
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000006792
AL
05
000028874
AL
Enumeration date
08/01/2006
Last updated
04/01/2015
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