Individual
HERBERT WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 HIGHLAND AVE SE, ROANOKE, VA 24013-2255
(540) 224-4545
Mailing address
1928 SPRINGMILL RD, SALEM, VA 24153-4703
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101-231079
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010264197
—
VA
05
—
6720269
—
VA
05
—
6725104
—
VA
05
—
6736653
—
VA
05
—
6736661
—
VA
05
—
6736670
—
VA
05
—
6736688
—
VA
05
—
6739636
—
VA
Enumeration date
01/14/2006
Last updated
08/12/2011
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