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Individual

DR. GWENDOLYN RUTH WHITLEY

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
257 BRANCHWOOD CIR NE, CONCORD, NC 28025-3103
(704) 701-1007
(704) 262-3375
Mailing address
257 BRANCHWOOD CIR NE, CONCORD, NC 28025-3103
(704) 701-1007
(704) 262-3375

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
175868
WI
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
46430
MN
207Q00000X
Family Medicine Physician
Primary
37585
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
175868
WISCONSIN MEDICAL LICENSE
WI
01
37685
NC MEDICAL LICENSE NUMBER
NC
01
46430
MN MEDICAL LICENSE
MN
Enumeration date
05/12/2006
Last updated
09/11/2025
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