Individual
JOHN WHITENTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
825 FAIRFAX AVE, NORFOLK, VA 23507-1914
(757) 446-5600
Mailing address
1047 PORTE HARBOUR ARCH, HAMPTON, VA 23664-1552
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102206706
VA
Other
Enumeration date
03/26/2019
Last updated
08/09/2021
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