Individual
ALVA WEAVER WHITEHEAD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
204 E CHEVES ST, FLORENCE, SC 29506-2604
(843) 777-7603
(843) 662-2474
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 777-7603
(843) 662-2474
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
21244
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202935692
WRK. COMP. ID NO.
SC
05
—
212442
—
SC
Enumeration date
02/06/2006
Last updated
03/25/2009
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